Sun, Sep/05/2010
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Credit Application


Torrance, CA 90505
310-530-0688 or 1-800-ASA-0688
Please input all fields to assure you receive proper credit.



*Firm Title 
*Address 
*Phone 
*President 
Secretary 
Finance Officer 
Type of Business 
*Years at Present Location 
*State of Incorporation 
*Year Established 
*Bank 
Checking Account # 
*Bank Address 
*Bank Phone 
*List 3 Suppliers for Reference 
  * Required Field

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