Contractor Credit Account Application - American Building And Roofing Page 2
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4Contractor Credit Account Application
Other Accounts with American Building
&.
Roofing, Inc.
Have you or any other officer had an account with American Building
&
Roofing, Inc.?
Yes
__
No
If yes, when?
_
Under what name(s) ?
_
Banking Information
Bank Name
Branch
_
Checking Acct.
#
Officer Contact Name
_
Phone#
(__
)
_
Credit Reference (Four Largest Suppliers)
Name
Phone
Fax
_
Name
Phone
Fax
_
Name
Phone
Fax
_
Name
Phone
Fax
_
Billing Requirements
On a monthly basis:
What approximate dollar amount would you need to cover your purchases?
$
_
Purchase Order (PO) Required? __
Yes __
No
Job Name/# Required __
Yes
No
List names of authorized person(s) to sign on this account:
_
Personal
Credit
Report
I (we) further
authorize
American
Building
& Roofing
Inc.
to obtain a PERSONAL CREDIT REPORT in
determining
whether
or not to extend
credit.
Signature
X
DaB
SS#
_
Signature
X
DaB
SS#
Page
2
of 4
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Parent category: Business