Berlin Metals: Credit Application

Credit Application

REQUEST QUOTATION / ORDER

Thank you for considering our company as a supplier. Please provide us with the necessary credit information requested below for the purpose of servicing you the best way we can. Thank you.

CREDIT APPLICATION FORM

Company Name:

Address:
City:	State:	Zip Code:
Country:
Phone No:	Fax No:

Corporation Partnership Sole proprietorship Other

Year business started: Same ownership: Yes No
Present address since:
Former address, if any:

Names and titles of principal officers or owners:

Name of bank:
Bank branch:
Bank address:
Bank officer:
Bank phone:

Kind of account: Checking Savings Loan

Four trade references currently granting your firm at least
the same high credit, or a larger amount:

#1 Company:
Address:
Phone:

#2 Company:
Address:
Phone:

#3 Company:
Address:
Phone:

#4 Company:
Address:
Phone:

Estimated monthly credit requirements:

Please be assured this information will be kept in strict confidence.
Should you have any questions regarding this application form,
contact Janet Dommer of our Credit Department.

Thank you for your cooperation.

The above information is being submitted by:

Name:
Title:


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