Euro Limited.com
To ensure the prompt processing of
your credit application, please be sure that all sections are completed
properly and allow two weeks for processing.
Name and address of Company (Street
address only) Year
business started _______
______________________________________________ Type of business ___Mfr ___ Whsl
______________________________________________ ___Ret
___ Dist
______________________________________________ Type of Product ______________________
Phone __________________
If Business is A:
Sole proprietorship or partnership
Name(s) of
owner Home address of
owner(s)
_________________________________________________ ___________________________
_________________________________________________ ___________________________
_________________________________________________ ___________________________
_________________________________________________ ___________________________
If business is incorporated.
year incorporated ________ under laws of what state: ______________________________________
Name of parent company, if
subsidiary: __________________________________________________
Names of officers Titles of
officers
_________________________________________________ ___________________________
_________________________________________________ ___________________________
_________________________________________________ ___________________________
_________________________________________________ ___________________________
_________________________________________________ ___________________________
Resale: Yes: _____ No ____ Resale # ___________________
Financing secured by: _____ Bank
______ Supplers _____ Factor ______ SBA loan Other_________
Collateral secured: ____ mach ____ inventory ____ equip ____ acct
receivables other ___________
Bankruptcy: Is business currently
operating under chapter x1 reorganization
_________ yes ______________ no
References: (give only names of those
you buy from on open account).
Name Address Phone
1: _______________________ ________________________________________ __________
2: _______________________ ________________________________________ __________
3: _______________________ ________________________________________ __________
4: _______________________ ________________________________________ __________
5: _______________________ ________________________________________ __________
Name of Bank ____________________________________________________________________
Bank Account # _________________________ Contact ___________________________________
Type of account _____ Com'L _____ Savings ____ Line of credit _____
yes _____ no
Amount $ ______________ Amount $ __________________
Anticipated Monthly purchases $___________________ Annual sales: $__________________
For the purpose of obtaining
merchandise from you on credit, the above statement
in writing is made, intending that you
should rely on same as correct. Furthermore
I hereby authorize the release of all
credit information.
Signed
(full name of firm) ____________________________________________________
By: (name and title) _______________________________________________________
Date
____________________________________________________________________