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Stitch City Online Credit Application

* Required Field
APPLICATION
Name of Company
Parent Company
Address
City
State/Province
Zip/Postal Code
Equipment Location
Address City
State/Province
Zip/Postal Code
* Phone
Fax
Contact Person Title
Email
Federal ID #
Type of Business
Years in Business
Proprietorship Partnership   Corporation
Equipment Information
 Manufacturer / Equipment Descripion

New   Used
Equipment Cost
Vendor / Sales Rep
Phone

Term
Bank Information
Bank Name Address
Phone

Fax

Business Checking Acct Personal Checking Acct
Loan Acct Officer
Bank #2
Bank Name
Address
Phone
Fax
Business Checking Acct Personal Checking Acct
Loan Acct
Officer
Trade References
Trade #1
Contact
Phone
Address
City
State
Zip/Postal Code
Acct #
Fax
Trade #2

Contact
Phone
Address
City
State
Zip/Postal Code
Acct #
Fax
Trade #3
Contact
Phone
Address
City
State
Zip/Postal Code
Acct #
Fax
Trade #4
Contact
Phone
Address
City
State
Zip/Postal Code
Acct #
Fax
Owner Information
* Owner

* Home Address
* City
 * State/Province
* Zip/Postal Code
Home Phone
* SSN / SIN
 

Has the applicant ever had:
Repossession   Bankruptcy   Judgment   None
Explain:

* Stitch City Industries (SCI) may check your credit and other pertinent information. By accepting and submitting this application you grant the necessary permission to SCI in requesting this information to accurately determine your credit worthiness.

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