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Credit Application

To apply for credit with Flash Furniture, please complete and submit the Credit Application below, or download, complete and fax/mail our Credit Application.

= Required Information

Company

No. Yrs. in Business

Street Address

Suite # \ Address Line 2

City

State

Postal Code

Country

Contact Name

Contact Title

Phone

Fax

Sales Contact

Payment Contact

Website

SalesMethod

Internet

Brick-and-Mortar Retail Store

Outside Sales Rep

BusinessType

Corporation

Partnership

Individual

Federal Tax Id

Sales Tax Id

Dun & Bradstreet

Desired Amount

Officer / Owner Information

Company President

Company Vice President

References

Bank Name

Bank Address

Bank City

Bank State

Bank Zip

Bank Phone

Bank Account

Reference 1

Address

City

State

Zip

Phone

Fax

Reference 2

Address

City

State

Zip

Phone

Fax

Reference 3

Address

City

State

Zip

Phone

Fax

Reference 4

Address

City

State

Zip

Phone

Fax

Reference 5

Address

City

State

Zip

Phone

Fax

Please attach a current resale license. For Rental Companies, or if the state does not issue resale licenses, please attach a valid business license.

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