Monarch Sound, Inc.
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This form must accompany the
Federal
W-9
Taxpayer Identification Number and Certification form.
If in Texas, please also
include the state form
01-399 the Texas Sales and Use Tax
Certificate. |
Corporate Account Application
Business Name ______________________________________________ Date ____________________
Address ______________________________________________________________________________
City ________________________ State _____ Zip _____________________
Contact _____________________________
Telephone No. ______________________ Fax No. ______________________
How long in business _______________________ D & B Rated _______________
Trade References:
Name __________________________________ Address ____________________________________
Telephone No. ______________________ Fax No. ______________________
Name __________________________________ Address ____________________________________
Telephone No. ______________________ Fax No. ______________________
Name __________________________________ Address ____________________________________
Telephone No ______________________ Fax No. ______________________
Bank References:
Name __________________________________ Address ____________________________________
Telephone No. ______________________ Fax No. ______________________
Name __________________________________ Address ____________________________________
Telephone No ______________________ Fax No. ______________________
Credit line requested $__________________________
The undersigned authorizes inquiry as to credit information. We further acknowledge that credit privileges, if granted, may be withdrawn at any time.
_________________________________
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