Contractor Credit Account Application - American Building And Roofing
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4AMERICAN BUILDING
&
ROOFING,
INC
YOUR LOCALLY OWNED
ROOFING SOURCE
Contractor Credit Account Application
American Building
&.
Roofing, Inc.
PO Box 429
Snohomish, WA 98291
(360) 568-7663 or (800) 801-9478
Fax: (360)568-7160
Company Information
I
CompanyName~~~~~~~~~~~~~~
_
(As
it
appearr
on
your business/contractor's
license)
Phone
<
)
Mobile
<
)
Fax
<
)
_
Billing Address
City
State
Zip
_
Street Address
City
State
Zip
_
Type of business
Sole Proprietorship
____
Partnership
Corporation
LLC
State of Incorporation
Years in Business
Specialty/Sub
_
General
Wholesale
_
Contractor License #
Expires
UBI#
_
Bonding Company
_
Bond#
_
Federal TaxID#
_
Owner
I
Officer Information
Owner's/
President's Name
Spouse Name
Birth Date
SS#
Home Address
City
State ____ Zip
Phone
<____
)
Partner's/
Vice President's Name
Spouse Name
Birth Date
SS#
Home Address
City
State ____ Zip
Phone
<____
)
Treasure's/
Secretary's Name
Spouse Name
Birth Date
SS#
Home Address
City
State
____
Zip
Phone
<____
)
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