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SAILING
SERVICES, INC. Business Name: __________________________________________________________________ Mailing Address: __________________________________________________________________ City, State, Zip Code: ______________________________________________________________ Telephone Number:________________________ Fax Number:_____________________________ E-mail Address: ____________________________________ Years in business: ______________ Type of Business: __________________________________________________________________ Business is (circle one): Individual Partnership Corporation Other Federal ID No. _________________________ Tax Certificate No. ___________________________ Names of Owners/Officers: ___________________________________________________________ Principal Buyer ____________________________________________________________________ Bank: ____________________________________________________________________________ Trade References (Please list a minimum of three) Name: __________________________________________Contact:_________________________ Address: ________________________________________________________________________ Phone No.:________________________________ Fax No.:______________________________ Name: __________________________________________Contact:_________________________ Address: ________________________________________________________________________ Phone No.:________________________________ Fax No.:______________________________ Name: __________________________________________Contact:_________________________ Address: ________________________________________________________________________ Phone No.:________________________________ Fax No.:______________________________ The above information is for the purpose of obtaining credit and is warranted to be true. I hereby authorize Sailing Services, Inc., to investigate the references listed pertaining to my credit and financial responsibility. Applicant's signature attests financial responsibility, ability, and willingness to pay, and guarantees payment of our invoices according to our established terms of business. Applicant's Signature: ____________________________________________________________ Printed Name: __________________________________________________________________ Applicant's Title______________________________________ Date_______________________ |