PANE D'ORO INTERNATIONAL BAKING LTD.
Credit Application

PANE D'ORO INTERNATIONAL BAKING LTD.

166 LUDLOW STREET

YONKERS, NY 10705

(914) 964-0044 FAX : (914) 964-0042

CREDIT APPLICATION

 

DATE COMPLETED: ______________

CUSTOMER NAME: _____________________________________________

ADDRESS: _____________________________________________________

PHONE/FAX #'S: ________________________________________________

GUARANTOR NAME: ___________________________________________

HOME ADDRESS: ______________________________________________

HOME PHONE #: _______________________________________________

CELL PHONE #: ________________________________________________

CREDIT CARD INFO: ____________________________________________

ACCTS PAY CONTACT: _________________________________________

DIRECT PHONE/FAX #: _________________________________________

BANK REFERENCE: ___________________________________________

ADDRESS: ____________________________________________________

BANK PHONE #/ CONTACT: ____________________________________

ACCOUNT #: ___________________________________________________

CREDIT REFERENCE #1: ________________________________________

COMPLETE ADDRESS: _________________________________________

PHONE/FAX #: _________________________________________________

ACCOUNT # IF ANY: ___________________________________________

CREDIT REFERENCE #2: ________________________________________

COMPLETE ADDRESS: __________________________________________

PHONE/FAX #: __________________________________________________

ACCOUNT # IF ANY: _____________________________________________

PAYMENT TERMS BEING ISSUED TO ABOVE: _____________________

GUARANTOR SIGNATURE / NAME: _______________________

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