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Credit Application Form

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Lacang Enterprise
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15 views2 pages

Credit Application Form

Uploaded by

Lacang Enterprise
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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YAN YAN INT’L CDO, INC.

Attached
Katipunan, Villanueva 2x2 ID Picture
Misamis Oriental and (1) Whole Body

CUSTOMER’S CREDIT APPLICATION FORM

BUSINESS NAME :
NAME OF OWNER :
OFFICE ADDRESS :

COMPANY TELEPHONE # (S):


COMPANY FAX # (S): ________________________________________________________________
CELLPHONE #: ______________________________
NO. OF YEARS IN SERVICE: ______________
NO. OF YEARS USING PRESENT BUSINESS NAME: ______
TYPE OF BUSINESS: GROCERY
NATURE OF BUSINESS: GROCERY
RESIDENCE ADDRESS: 13 LEDESMA ST. POBLACION TACURONG CITY
_______________________________________________________________
TELEPHONE # _______________________________________________________________

BANK INFORMATION

Bank Name Branch Tel.No. Acct. No. Authorize Signatory


Signature
1. ________________________________________________________________________________
2. ________________________________________________________________________________
3. ________________________________________________________________________________

NAME MAJOR SUPPLIER Address Tel.No.

1. _______ __________________________________ ___________________


2. _______ __________________________________ ___________________
3. _______ __________________________________ ___________________
4. _______ __________________________________ ___________________
5. _______ __________________________________ ___________________

NAME OF AUTHORIZED SIGNATORY ON RECEIVING DELIVERIES: (Give SPA – Authorize to


Received
all Company Product)

NAME SIGNATURE
1. ___________________________ __________________________
2. ___________________________ __________________________
3. ___________________________ __________________________

REQUIREMENTS NEEDED:

1. Photocopy of Business Name


2. Mayor’s Permit

CREDIT LIMIT REQUESTED: Php


CREDIT TERMS REQUESTED: ______________________

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