Credit Application

Company Name:

Business Name (DBA):

Address:

City:

State:

Zip Code:

Telephone:

Fax:
Special Shipping Instructions (if any):

   Company Information

 

Type of ownership:

Proprietorship

Partnership

   Corporation

If franchise, franchise name and

store identification number:
How long in business under present owner: Number of Employees:
Rated in Dun & Bradstreet:: Yes   #          No    Unknown
Sales tax:        Yes        No    State                 Resale # 
Reason: 
Nature of business (primary):

 

 

Bank Reference

 

Bank Name: 
Address: 
Telephone:  Contact:  Account Number:

 

 

Trade References

 

Name:  Address: 
Phone:  Contact & Title: 

 

Name:  Address: 
Phone:  Contact & Title: 

 

Name:  Address: 
Phone:  Contact & Title: 

 

American Industrial Door Company

Division of DeVore Construction Company

Established 1981

629 Perry Street Davenport

Iowa 52803

 

 

563-326-2463 Phone

563-326-0017 Fax

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