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 American Equipment
 Sales Corp.
 1345 Main Street
 Waltham, MA 02451
 1-800-747-SUDS
 781-647-4732 (fax)


 email us at:
 sales@aclslaundry.com
 
Credit Application
(Our standard terms are net 10 days)

  Date
  Company Name Individual Name
  Street City
  State Zip
  Phone Email
  Line of Business Other:

  Ownership: Sole Proprietorship      Corporation      Partnership     
  Additional Information:  
  If Incorporated: Name: Phone: Address:
  President:
  Treasurer:
  Secretary:

  If Partnership: Name: Phone: Address:
  Partner 1:
  Partner 2:

  Address of Home Office: Same as above
  Street City
  State Zip
  If different than local address (listed above),
which location are payments made?
Local Office      Home Office     

  References: (Please select 3 names of those you buy from on open account)
  Name: Phone: Address:
  1:
  2:
  3:

  Primary bank information:
    Bank Name: Account #: Bank Address:
   

  Title of person submitting this application: