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Amsco Steel Company 3430 McCart Street P.O. Box 11037 Fort Worth, Texas 76110 |
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| Fort Worth 817/926-3355 FAX 817/923-2860 |
Credit Application Please print form out, fill it in, sign it and mail it to Amsco. |
Dallas Metro 817/429-5807 Watts 1/800/772-2743 |
| Date:____________________ |
Customer Name:_________________________________________________________________________ |
Mail to:____________________________________ Deliver to:____________________________________ |
| ____________________________________ ____________________________________ City State ZIP City State ZIP |
| Phone: (_____)_____-_________ Type of business:_________________________________________ |
| Number of years in business:____________ Under present management:_______________ |
| Sales Tax: ___All purchases taxable ___Some purchases exempt ___All purchases exempt |
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| Key officers or principals in the business: |
| _______________________________________________________________________________________ Name Title Address |
| _______________________________________________________________________________________ Name Title Address |
| Trade references: |
| 1)
______________________________________________________________________________________ Company Address ZIP Telephone |
| 2)
______________________________________________________________________________________ Company Address ZIP Telephone |
| 3)
______________________________________________________________________________________ Company Address ZIP Telephone |
| 4)
______________________________________________________________________________________ Company Address ZIP Telephone |
Bank: ____________________________ Address:_____________________________________ |
Bank Officer:__________________________________ Account Number:__________________ |
Note: Signature is required before credit can be approved. |
__________________________________________________________ _______________ Signature (Guarantor) Title Date |
| If this account is not paid when due, seller may charge interest and if charged buyer agrees to pay interest on the unpaid principal balance of buyer's account at the rate of prime +2. |