Application Form Easy Care
Application Form Easy Care
Proprietor Partnership Years in Business # Years Present Ownership Annual Sales No. of Employees
Corporation S Corporation
Bank References
Banke Name Bank Phone Number Checking Account Number
Blue Vine
888-216-9619 875101993660
Bank Address City State Zip Code
6900 N. Vandiver San Antonio TX 78209
Bank Officer or Contact
Trade References
Company Name Address Phone Number
enkaypoloshing Enkay products corp 150 executive drive,suite s Edgewood,ny 11717 631-778-6730
Company Name Address Phone Number
R.R.LALENA CORPORATION 59-26 55th DRIVE MASPETH NY 11378 1.800.752.5362
Company Name Address Phone Number
Prestige Import Group 1800 S. Powerline Road - Suite E Deerfield Beach, FL 33442 USA 954-977-3022
Company Name Address Phone Number
https://brandnamedistributors.com/ 175 Central Ave S, Bethpage, NY 11714 718.643.1141
I herein make application to McGrayel Company, INC. for credit. The information shown herein and supplied in connection with this application is true, accurate, and
complete in every aspect. I hereby authorize McGrayel Company, INC. to verify all credit and financial information provided herein and to contact individua;s and
companies referred herein. Also, I authorise my bank to release information requessted by McGrayel Company, INC. for the processing of our application for credit.
The Undersigned has read this Credit Application and agrees to the statements, terms, and conditions stated herein.
___________________
08/23/2021 _________________________________________ ______________________________________
DATE AUTHORIZED SIGNATURE & TITLE AUTHORIZED SIGNATURE & TITLE
For Office
Use Only PROCESSED BY: ____________DATE: _______ APPROVED BY: ____________DATE: _______