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Credit Application

Fields marked with * are required

Company Name: *

Company Website: *

Who is your contact at MultiSol? *

Address: *

Country: *

State / Province

City: *

Zip Code:

Person in Charge of Processing Payment: *

Phone number *


Email: *

Number of Years in Business: *

Number of Years At Your Present Address: *

Approximate Annual Sales (in US$): *

Number of Employees: *

Federal Tax ID Number: *

D&B Number (if known):

Please enter information about the company owner, the partners, or corporate officers:

President / CEO / Owner:

Name: *

Email: *

Phone Number *


Financial Manager / CFO:

Name: *

Email: *

Phone Number *


General Manager / Sales Manager:

Name: *

Email: *

Phone Number *


Banking References:

Name of Bank:

Bank Address:

Bank Contact:

Contact Email:

Bank Telephone:


Commercial Trade References

(Companies/Vendors who you presently buy from,

preferably in USA)

Trade Reference # 1

Company Name: *

Contact Name: *

Phone Number: *


Email: *

Trade Reference # 2

Company Name: *

Contact Name: *

Phone Number: *


Email: *

Trade Reference # 3

Company Name: *

Contact Name: *

Phone Number: *


Email: *

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