APPLICATION FOR CREDIT – Terms Are Net 30 Days, OAC Credit,
User Manual: Application For Credit, Net 30
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APPLICATION FOR CREDIT – Terms are Net 30 Days, OAC Company or Individual Applying for Credit Name:__________________________________________________ Date:______/______/__________ Division:_________________________________________________ Year Established:____________ Years at this address:________ Physical Address:__________________________________________ City/State/Zip:____________________________________________ Phone: ( Fax: ( )________________________Ext._____________ )____________________________ (If less than 2 years, please provide previous address on separate page) Web site:____________________ @__________________________ Accounts Payable Contact: Purchasing Contact:_________________________________________ Billing Address:_____________________________________________ City/State/Zip:______________________________________________ Phone: ( )__________________Fax: ( Phone: ( )_______________ Email:_______________________ @__________________________ )_________________ Please Provide Pertinent Company Information below: Classification: (Held strictly confidential) ___Individual ___Partnership ___Corporation ___Government ___AA Distributor ___Sole Proprietorship businesses, including phone, fax and contact name) Business Credit References: (Please provide at least two Resale: _____No _____Yes Resale# NOTE: A Signed CA Resale Certification is required for our files. D&B # ________________________ Vendor # (If assigned by your company) _______________________ Bank Information: Please Note: Bank Name:____________________________________ Account#:____________________________ Typical Processing Time Address:__________________________________ City/State/Zip:_____________________________ for Credit Applications Fax: ( )_____________________________ Fax: ( ) _____________________________ is 48 hours. VERIFICATION: (Do not fill out this box) ___Checked Bank ___Checked D&B ___Checked References ___CREDIT APPROVED ___CREDIT DENIED I certify that the information herein is true and correct. I fully understand that Anaheim Automation’s Terms are ___Agree to comply to Terms strictly Net 30 Days. Print Name: ______________________________________________________________ Signature:__________________________________ Date: ______________ www.anaheimautomation.com 910 East Orangefair Lane Anaheim, CA 92801 714-992-6990 RETURN BY FAX: (714) 992-0471 or Mail to address listed below Attn: Accts. Rec. 714-992-0471, Fax
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File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.3 Linearized : Yes Modify Date : 2009:04:17 11:15:55-06:00 Create Date : 2009:04:17 11:15:48-07:00 Page Count : 1 Creation Date : 2009:04:17 18:15:48Z Mod Date : 2009:04:17 18:15:48Z Producer : Acrobat Distiller 5.0.5 (Windows) Author : Anaheim Automation Metadata Date : 2009:04:17 18:15:48Z Creator : Anaheim Automation Title : APPLICATION FOR CREDIT – Terms are Net 30 Days, OAC Page Mode : UseNone Tagged PDF : YesEXIF Metadata provided by EXIF.tools