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                                    Business Name__________________________________Date______________
 Address______________________City__________State_________Zip_____ Owner/Manager_______________________________Tel.No.______________ How long in business________________________D & B Rated__________ Trade References: Name_______________________________Address_______________________ Name_______________________________Address_______________________ Name_______________________________Address_______________________ Name_______________________________Address_______________________ Bank References: Name_______________________________Address_______________________ Name_______________________________Address_______________________ Credit line requested $_________________________________ Pending1 lawsuits2 against Company: ___________________________________________________ ___________________________________________________ ___________________________________________________ The undersigned authorizes3 inquiry4 as to credit information. We further acknowledge that credit privileges, if granted, may be withdrawn5 at any time. _______________________________ 点击  收听单词发音 
 
 
 
 
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