Pro Celebrity

American Team Sports Spirit

CREDIT APPLICATION

BILLING

COMPANY NAME
ADDRESS
CITY
STATE
   
ZIP CODE
  
TEL #
  
COMPANY TYPE

SHIPPING

CHECK HERE IF ADDRESS IS THE SAME ABOVE
COMPANY NAME
ADDRESS
CITY
STATE
   
ZIP CODE
  
TEL #
  

BUSINESS HISTORY


How long has Business been established:
Nature of Business:
Starting Capital:
How was Capital financed:
Payment schedule of any Loans or lines of Credit:
Are any of the Assets Pledged? If so, please explain:

BANKING


BANK NAME
ACCT #
ADDRESS
CITY
STATE
   
ZIP CODE
  
TEL #
  

TRADE REFERENCE


REFERENCE # 1 NAME
ADDRESS
CITY
STATE
   
ZIP CODE
  
TEL #
  

REFERENCE # 2 NAME
ADDRESS
CITY
STATE
   
ZIP CODE
  
TEL #
  

REFERENCE # 3 NAME
ADDRESS
CITY
STATE
   
ZIP CODE
  
TEL #
  

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