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2013 MEDIA KIT - FOH Online

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TIMELESS COMMUNICATIONS, CORP.<br />

6000 South Eastern Ave. Ste 14-J<br />

Las Vegas, NV 89119<br />

TEL: 702.932.5585<br />

FAX: 702.932.5584<br />

CREDIT APPLICATION<br />

FORM<br />

COMPANY INFORMATION<br />

NAME: FEDERAL ID#:<br />

TYPE OF BUSINESS:<br />

STREET ADDRESS:<br />

CITY: STATE: ZIP:<br />

MAILING ADDRESS:<br />

CITY: STATE: ZIP:<br />

PHONE:<br />

YEARS IN BUSINESS: AMOUNT OF CREDIT DESIRED:<br />

PERSONNEL<br />

OWNER:<br />

TITLE: SSN:<br />

PARTNER OR OFFICER:<br />

TITLE: SSN:<br />

BANK AND ACCOUNTING INFORMATION<br />

BANK 1: ACCOUNT#:<br />

ADDRESS: TEL:<br />

BANK 2: ACCOUNT#:<br />

ADDRESS: TEL:<br />

TRADE REFERENCES<br />

NAME: TEL:<br />

ADDRESS:<br />

NAME: TEL:<br />

ADDRESS:<br />

NAME: TEL:<br />

ADDRESS:<br />

The foregoing is understood, agreed to, and accepted by:<br />

SIGNED: TITLE:<br />

NAME: DATE:<br />

Timeless Communications, Corp.<br />

<strong>FOH</strong>MK_01.31.13

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