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Fax completed credit application to: (818) 727-1054
Or send by e-mail to: firstname.lastname@example.org
To apply online, please fill out the form below:
By clicking the SUBMIT button:
Applicant hereby certifies that the information furnished under this Application and any other financial statements furnished in connection herewith, is true and correct and that this information is being furnished to Seller for the purpose of inducing Seller to extend credit to Applicant, and understands that Seller intends to rely upon such information. Seller’s “Terms and Conditions of Sale and Service” shall apply to any transactions between Seller and Buyer, unless other terms are agreed to by Seller in writing.
Applicant hereby authorizes Seller to check Applicant’s credit history and trade and bank references for customary credit information now and hereinafter, and to confirm on a continuing basis the information contained on this Application including but, not limited to, sending a copy hereof to the trade and bank reference, and to release information to other creditors regarding Applicant’s credit experience with Seller.