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.