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CREDIT APPLICATION FILL IN SHEET. Mail or fax in to the address below. Reidar's Manufacturing Inc. 10 Water St. Fairhaven, MA 02719 Phone: 508-999-4616; FAX: 508-990-8867 Email: Reidars02@aol.com
Boat name: | Official No: | Corporation name: | Tax ID No: | Settlement House: | .Phone no: | Address: | Contact Person | . | Fax no: | Owners name: | Title: | Address: | Daytime Phone: | . | Home Phone no: | E-Mail | Fax No: | Bank name: | Account no: | Contact Person: | Phone no: | Trade Refrence(Active account): | Phone/Fax: | Trade reference: | Phone/Fax: | Trade reference: | Phone/Fax: | Responsible Person(sign): | Credit Amount?: | Approved by: | Amount: | Disapproved by: | Terms: Net 30 -1.5% over 60 days |
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