BUSINESS CREDIT APPLICATION

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GLOBAL AM-TX, INC.
P.O. BOX 1287/ 120 CROUCH
ALVIN, TX 77512/ ALVIN, TX 77511
TELEPHONE: 281-331-0200
FAX: 281-756-8960
Name/Address
Last:
First:
Middle Initial:
Title
Name of Business Tax I.D. Number
Address  
City: State Zip Phone
Company Information
Type of Business: In Business Since   Phone
Legal Form Under Which Business Operates Corporation Partnership Proprietorship
If Division/Subsidary, Name of Parent Company In Business Since  
Address City State Zip  
Bank References
Institution Name
Institution Name Institution Name    
Check Account #
Saving Account # Loan # Loan Balance
Address
 Address Address    
Phone
 Phone Phone    
Trade References
Company Name Company Name Company Name
Contact Name Contact Name Contact Name
Address Address Address
Phone Phone Phone
Account opened since Account opened since Account opened since
Credit Limit Credit Limit Credit Limit
Current Balance Current Balance Current Balance
I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understating that it is to used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein.
Signature Title Date