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Customer Application

business
Billing Address

home
location_city
phone
email
Shipping Address

home
location_city
Customer Information

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person
AP Contact
account_circle
phone
email
PO Contact
account_circle
phone
Other Business Info
business
attach_money
work
Commercial Bank Reference

account_balance
#
phone
account_circle
Commercial Trade References

Trade references that have extended the highest amount of credit in the last 12 months


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General Comments

Verify and Submit Application

Statement of Terms

Applicant authorizes Top Notch Distributors, Inc. to obtain credit reports to be used in connection with this application and to obtain further credit information from any persons or firm set forth in this application and from any other source, including credit profiles on individuals responsible for payment. Applicant further authorizes any bank or commercial business with whom the applicant is doing, or has done any type of business, to give any and all necessary information to Top Notch Distributors, Inc. which will assist in the credit inquiry.

Personal Guarantee

In consideration of credit being extended by Top Notch Distributors, Inc for merchandise to be purchased whether an individual or individuals, a proprietorship, a partnership, a corporation or other entity, the undersigned guarantor(s) hereby contract and guarantee to Top Notch Distributors, Inc the faithful payment, when due, of all accounts said applicate for purchases made. Payment shall be personally guaranteed irrespective of status or changes in existing business of which the undersigned is a principal (owner, partner or officer). Applicant agrees that in the event of default in any payment, to pay all costs of collections, including but limited to, attorney’s fees, court cost, and collection agency fees. Applicant certifies all information furnished is true and accurate, and will be relied upon in the granting of credit.