Credit Application
Business Structure:

Bank Reference:

Trade References (please provide 3):

I hereby certify that the information in this credit application is correct. The information included in the credit application is for use by A-1 Servomotor Repair in determining the amount and conditions of credit to be extended. Further, I hereby authorize the bank and trade references listed in this credit application to release the information necessary to assist A-1 Servomotor Repair in establishing a line of credit for my company.

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