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2012 Tradeshow Schedule
February 15, 2012 10:47 AM
StocExpo EuropeMarch 13-15thRotterdam, The Netherlandshttp://www.stocexpo.com/home.shtml AGA Operations ... read more


Merry Christmas Customers
December 09, 2011 08:41 AM
Thank you, customers, for your continued service.  Have a very Merry Christmas and a wonderful new... read more


2011 Upcoming Trade Show Schedule
June 09, 2011 05:57 PM
Please join Valtronics & Mustang Sampling at our upcoming shows! Pennsylvania Gas ExpoJuly 21, ... read more


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Credit Application

Credit Application form


Name of Company

Type of Business

Phone

Accounts Payable Contact
Phone

Taxable: Yes No
Tax Number

Are you a member of Dun & Bradstreet? Yes No

How long have you been in business?

How long at present address?

BANK REFERENCE:

Name of Bank
Address
Contact Person
Phone

NAME, ADDRESS, AND PHONE NUMBERS OF 4 MAJOR SUPPLIERS:

Business Name
Phone
City, State, Zip

Business Name
Phone
City, State, Zip

Business Name
Phone
City, State, Zip

Business Name
Phone
City, State, Zip

Name and Title of person completing this form

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