Business Credit Application Form
Authorized Contact and Shipping Information
Full Name
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Title/Position
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Legal Street Address
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Legal City
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Legal State / Province
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Legal Postal / Zip Code
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Shipping Street Address
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Shipping City
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Shipping State / Province
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Shipping Postal / Zip Code
*
Company Information
Type of Business
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Tax I.D. Number
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In Business Since
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Company Street Address
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Company City
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Company State / Province
*
Company Postal / Zip Code
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website
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Bank References
Institution Name
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Checking Account #
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Contact Person Full Name
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Contact Person Phone Number
*
Bank Street Address
*
Bank City
*
Bank State / Province
*
Institution Name 2
Institution Name 2 Checking Account #
Institution Name 2 Contact Person Full Name
Institution 2 Contact Person Phone Number
Institution 2 Street Address
Institution 2 City
Institution 2 Postal / Zip Code
Institution 2 State / Province
Trade References
Trade References Company Name
Trade References Contact Name
Trade References Phone Number
Trade References Account opened since
Trade References Current Balance
Trade References Credit Limit
Trade References Street Address
Trade References City
Trade References State / Province
Trade References Postal / Zip Code
Trade References Contact Name 2
Trade References Company Name 2
Trade References Phone Number 2
Trade References Account opened since 2
Trade References Credit Limit 2
Trade References Current Balance 2
Trade References 2 Street Address
Trade References 2 City
Trade References 2 State / Province
Trade References 2 Postal / Zip Code
Financial Information
Company Total Assets
Annual Net İncome
Amount of Credit Requested
Have you or your officers or affilates ever filed a petition in bancruptcy?
Yes
No
Is your company subject to any litigation?
Yes
No
Financial Information Company Name
Authorized Employee Full Name
Employee Title
Credit Application Acknowledgment
By signing this application, the Applicant agrees to all terms of sale established by Enjoy Halal (New Style LLC). The Applicant agrees to pay all invoices according to the terms stated, authorizes Enjoy Halal to verify credit and banking references, and accepts responsibility for all charges incurred. Past-due balances may be subject to a 2% monthly service charge or the maximum allowed by law. The Applicant agrees to pay all reasonable collection costs, including attorney fees, if payment is not made when due.
Signature*
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