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Summit Credit Application 2025

Page 1

CREDIT APPLICATION Date: ____________________________________ Applicant Name: ________________________________________________________________ Product Line: __________________________________________________________________ Amount of Credit Requested:______________________________________________________ Company Name: ________________________________________________________________ Doing Business As:_______________________________________________________________ Sold to Address:_________________________________________________________________ Country:_________________ City:____________________ State: _____________ Zip:________

How many Years in Business: ___________________ Fax: _______________________________________ Website: __________________________________ Phone: ____________________________________ D & B#: ____________________________________ Corporation Charter #: ________________________

COMPANY TYPE: (PLEASE CHECK ONE)

[ ] Solo Proprietorship [ ] Partnership [ ] LLC [ ] Corporation [ ] S Corporation

BILLING ADDRESS:

SHIPPING ADDRESS:

Name: ___________________________ Address: _________________________ _________________________ Country: _________________________ City:_____________________________ State: _____________ Zip:___________ Phone: (_____)____________________ Fax: (_____)_______________________

Name: ___________________________ Address: _________________________ _________________________ Country: _________________________ City:_____________________________ State: _____________ Zip:___________ Phone: (_____)____________________ Fax: (_____)_______________________ Vat Registration: ___________________


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