Harp's Tarps Credit Application • Fax to 770-491-8104

Applicant Information
Name of firm or individual
 
Entity Type
(circle one)
 Corporation, LLC, Sole Proprietor, LLP, Partnership, Other
Street Address
  
Email Address
  
City
 

Located inside city limits? 

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Ownership or Officer Information
Name
  
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Telephone
  
Name
  
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Telephone
  
Name
  
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Financial Information
Bank Name
 
Address
  
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Zip Code
  
Telephone
  

References
Name
  
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fax
  
Name
  
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fax
  
Name
  
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fax
  
Name
  
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fax
  
Would you like cash sales until credit is approved? yes / no
If no, your orders will not be processed until your credit is approved.
We certify that all the information on this form is correct.  We fully understand your credit terms and agree to the proper payment in consideration of extended credit. If tax exempt, a signed tax exempt form must be faxed to Harp's office.
Name
 
Date
  
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