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Home > Credit Application

Credit Application

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Phone: 1.770.822.5600 Ext.2914

Fax: 1.678.969.6699

General Information

Company Name *			Address *
DBA			City *
Email:			State *
D&B #			Zip *

Type of Business Corporation LLC Partnership Single Proprietorship Other
Contact Name *			Title
Phone *			Fax

Bank Reference

Bank Name			Bank Address
Telephone			City
Fax			State
Bank Contact Name			Zip
Bank Contact Title			Email

Trade References (List 3 vendors with whom you have established credit)

Vendor 1 Name			Vendor 1 Address
Vendor 1 Telephone			Vendor 1 Fax
Vendor 1 Account #			Vendor 1 Contact Name
Vendor 1 Nature of Business

Vendor 2 Name			Vendor 2 Address
Vendor 2 Telephone			Vendor 2 Fax
Vendor 2 Account #			Vendor 2 Contact Name
Vendor 2 Nature of Business

Vendor 3 Name			Vendor 3 Address
Vendor 3 Telephone			Vendor 3 Fax
Vendor 3 Account #			Vendor 3 Contact Name
Vendor 3 Nature of Business

All information contained in this credit application is true and accurate and is furnished to Global Equipment Company (GEC) in order to induce GEC to grant credit to customer. Customer authorizes GEC to obtain credit and financial information concerning Customer at any time and from any source and agrees to hold harmless GEC against any claim for doing so.

Applicant Name *

Applicant Title *