American Equipment Sales Corp. - Credit Application

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Credit Application

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: