| CREDIT APPLICATION |
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By
Tee Top of
California, Inc.
11801
Goldring Rd., Arcadia, CA 91006
Tel: (626)301-8788
Toll Free Tel: (800)368-6308
Fax: (626)301-8789
Toll
Free Fax:
(877)338-1176
customerservices@procelebrity.com
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| a |
| * Business Name:
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| * Corporate Name:
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| * Address:
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| * City & State:
Zip Code:
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| * Owner or President:
E-Mail:
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| * Tel#:
* Fax:
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| * Sole Proprietorship:
Partnership:
Corporation:
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| * Principals Name:
Title:
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Title:
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| Insurance Coverage: Yes
No
ASI# :
PPAI# :
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| * How Long Has Business Been Established:
Years |
| * Nature of Business:
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| * Starting Capital:
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| How Was Capital Financed:
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| Payment Schedule of Any Loans or
Lines of Credit:
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| Are Any of The Assets Pledged? If
So, Explain: |
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| Accounts Payable Contact Name:
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| * Business Bank References:
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* Name:
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| * Address:
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| * City &
State:
* Zip Code:
* Tel#:
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| * Banker:
* Acct#:
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| Trade References: |
Name:
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| Address:
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| City &
State:
Zip Code:
Tel#:
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Name:
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| Address:
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| City &
State:
Zip Code:
Tel#:
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Name:
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| Address:
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| City &
State:
Zip Code:
Tel#:
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| * Authorized Name:
Date:
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| * Title:
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