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Full Legal Name of Business<br />
Trade Name<br />
Address<br />
COMMERCIAL ACCOUNT APPLICATION<br />
City Prov/State PC/Zip<br />
Telephone Fax<br />
E-Mail Address<br />
Accounts Payable Contact<br />
Years in Active Business Nature of Business<br />
Ltd Company Partnership Proprietorship Incorporated Date<br />
US Customers, IRS Tax No<br />
Estimated Monthly Purchases<br />
NAMES OF PRINCIPALS OR OFFICERS: POSITION:<br />
1.<br />
2.<br />
3.<br />
TM<br />
BANKING INFORMATION:<br />
RAMBRIDGE WHOLESALE SUPPLY<br />
#1 - 2421 Centre Avenue SE, Calgary, Alberta T2E 0A9 • Phone: 403-230-5717<br />
Fax: 403-276-9120 • Email: info@rambridge.com • Order Desk: 1-800-265-4769<br />
Bank Branch<br />
Address City Prov<br />
Telephone Contact<br />
I hereby authorize <strong>Rambridge</strong> <strong>Wholesale</strong> <strong>Supply</strong> to contact any or all of the attached references for<br />
credit verification purposes.<br />
Date Signature<br />
credit - 3 11/02
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