Euro Limited.com

1321 W.Fairfield RD #110 High Point NC 27263 .800-877-3876

 

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 rec other______________       

 

Bankruptcy: is business currently operating under chapter x1 reorganization

 _________ yes______________no

Reference:(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 $______________

 

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_____________________________________________________