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Address:______________________________________________________________________________ City:_________________________________________State:__________Zip:______________________ Phone:(_____)_________________ FAX:(_____)__________________ # of years at address_________ |
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The above does hereby apply for credit in accordance with the terms and conditions of JoJac Enterprises, Inc. Accounts are due and payable 10 days after closing of monthly statement. |
| OWNERSHIP: |
| _____Partnership _____Individual _____Corporation / Date incorporated_______________________ |
| List the names, addresses, and phone numbers of owners/officers below. |
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________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ |
| FINANCES: |
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Name and address of Bank:_________________________________________________________________________ Bank Officer:______________________________________Phone: (____)_______________________ |
| REFERENCES: |
| List business references with complete address and phone number below. |
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Signed:_________________________________________________Date:_________________________ |
Title:___________________________________________________ |
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Joe's Towing and Recovery 6586 Brighton Blvd Commerce City, CO 80022-2322 |
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