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Account Application

Company Name:
Address:		Telephone:
City:		E-Mail:
State:	Zip:	Fax:

Sir/Madam:
We will be happy to open an account for you. To do so, we need a credit reference. Please list below the names and addresses of 4 companies you have been doing buisness with for at least a year. Please DO NOT GIVE US BANKS AND/OR WATCH COMPANIES. As soon as we process this application we will notify you if you have established an open account with us.

Please include your reference's fax number.

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