A & K ENTERPRISES
livesteamsupplies.com

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Please copy and paste to a word document, print and fill out the Commercial Credit Aplplication. Please mail signed copy to us. You may Fax or email the Application to us for Credit so we may start setting up your account
Mailing Address:

A & K ENTERPRISES
Sute 419
23638 Lyons Avenue
Newhall, CA.
91321-2513
USA
Fax Number

661-259-6586
PLEASE COMPLETE AND RETURN

CREDIT APPLICATION

                                                                                                         DATE: __________________________

*FIRM NAME____________________________________ TELEPHONE/FAX#____________________

*STREET__________________________ CITY____________________STATE____________ZIP______

*NAME OF PARENT COMPANY IF SUBIDIARY____________________________________________

*PROPRIETOR OR PARTNERS NAME _____________________________________________________

PRINCIPALS OF FIRM

*NAME__________________________________________ TITLE_______________________________

*NAME _________________________________________ TITLE_______________________________

*NAME _________________________________________ TITLE_______________________________

*TYPE OF BUSINESS______________________________ YEAR ESTABLISHED_________________

*AT PRESENT LOCATION SINCE _______________ DUNS NO.___________________RATING__________

*IS BUSINESS INCORPORATED? ____________ IF SO, UNDER LAW OF WHAT STATE__________

*RESALE? YES NO RESALE TAX NO._____________________F.E.I.N. NO.________________________

REFERENCES (GIVE ONLY NAMES OF THOSE YOU BUY FROM ON OPEN ACCOUNT)

NAME______________________________________ TELEPHONE/ FAX#_________________________

STREET____________________________ CITY___________________ STATE______ ZIP___________

NAME ______________________________________ TELEPHONE/FAX#_________________________

STREET____________________________ CITY___________________ STATE ______ ZIP___________

NAME ______________________________________ TELEPHONE/FAX#_________________________

STREET____________________________ CITY____________________ STATE______ ZIP__________


NAME ______________________________________ TELEPHONE/FAX#_________________________

STREET____________________________ CITY____________________ STATE______ ZIP__________

BANKING (Authorization to Provide Credit Information):

*NAME OF BANK________________________________ TELEPHONE/FAX______________________

*ACCOUNT NUMBER: _________________

*STREET ______________________________ CITY______________________ STATE_______ ZIP__________

*SIGNED____________________________________ (COMPANY OFFICER)

ALL INFORMATION MUST BE COMPLETED AND TERMS ARE NET 30 DAYS

SUITE 419, 23638 LYONS AVENUE, NEWHALL, CA. 91321-2513

FAX NUMBER IS 661-259-6586
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