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State Building Certifications
April 04, 2013 03:46 PM
Does your state require certification labels for pre-erected buildings? ... read more


2013 Tradeshow Schedule
March 11, 2013 09:58 AM
SGA Gas Conference & EXPOMarch 11-13Charlotte, NChttp://www.southerngas.org/ Canadian School of Hydr... read more


Shelton Mutter Obituary
November 26, 2012 08:42 AM
Valtronics & Mustang Sampling recently lost a wonderful employee, Shelton Mutter. "Shelton E. Mutter... 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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