Credit Application - Superior Group of Companies

COMPANY LEGAL DESCRIPTION

Company Name:

DBA Name:

Invoice Address:

City:

Shipping Address:

State:

Zipcode:

Phone Number:

Fax Number:

Listed in Dunn & Bradstreet:

If Yes, Specify Reference:

Franchise or Corporate Owned:

Franchise Owner:

Address:

City:

State:

Zip Code:

BUSINESS DESCRIPTION

Type of Business:

Years in Business:

Years under Present Control:

Type of Ownership:

Amount of Credit/Terms Requested:

Names of Offices, Partners or Oweners

Name:

Title:

Name:

Title:

Name:

Title:

Name:

Title:

Invoice Paid By:

Phone:

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