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GINO'S jEWLERY AND TROPHY
MANUFACTURERS CREDIT
APPLICATION AND AGREEMENT |
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pRIVACY
STATEMENT: THE INFORMATION COLLECTED
IN THIS APPLICATION WILL BE USED BY GINO'S AWARDS, INC. OR ITS RELATED
COMPANIES for the PURPOSE OF ESTABLISHING CREDIT. THIS INFORMATION WILL NOT BE SHARED WITH ANY THIRD PARTIES
EXCEPT FOR 1) THOSE PARTIES IN A CONFIDENTIAL RELATIONSHIP WITH GINO'S
AWARDS, INC. (SUCH AS CORPORATE COUNSEL) OR 2) TO PURSUE COLLECTION OF UNPAID
DEBT. GINO'S AWARDS, INC. OR ITS
RELATED COMPANIES MAY ALSO USE THE CONTACT AND ADDRESS INFORMATION FOR
MAILING LIST PURPOSES BUT ONLY FOR INTERNAL PURPOSES; THIS INFORMATION WILL
NEVER BE AVAILABLE TO THIRD PARTIES, EXCEPT AT ENUMERATED IN NO.S 1 & 2,
ABOVE. |
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General Information |
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Business
Name |
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Billing
Address |
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City
State Zip
/ Postal Code |
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Telephone Facsimile Email |
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Shipping
Address |
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City
State Zip
/ Postal Code |
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Listed in
D&B? Yes D&B Number Not Listed |
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Have you
even been the subject of bankruptcy? Yes
No |
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(If "Yes", please explain in a separate
statement) |
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Organization Type
(Please Check An Option): |
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Corporation LLC,
Ltd, Etc. Proprietorship
/ Partnership Non
Profit Year Established |
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Corporate Officers,
Members, Partners, Owners, etc. |
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1. |
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Name |
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Title |
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2. |
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Name |
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Title |
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3. |
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Name |
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Title |
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4. Accounts Payable Contact Name |
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Banking Information |
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Bank
Name Branch |
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Account
Number Bank Contact |
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Address |
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City
State Zip
/ Postal Code |
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Telephone Facsimile Email |
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trade references |
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1. Reference Name
Contact |
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Address |
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City
State Zip
/ Postal Code |
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Telephone Facsimile Email |
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2. Reference Name Contact |
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Address |
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City
State Zip
/ Postal Code |
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Telephone Facsimile Email |
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3. Reference Name
Contact |
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Address |
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City
State Zip
/ Postal Code |
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Telephone Facsimile Email |
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Other Information |
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We realize that many
businesses are "start-ups" or may have other circumstances that
make them a good potential partner for Gino's but who may have various credit
irregularities. Please feel free to
include additional information you feel we should be aware of in determining
credit. Feel free to use a separate sheet
of paper but please be sure to note that the additional sheet is part of this
application. |
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Signature(s) |
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(This section to be signed by an
officer, director, member, partner or similar person empowered to accept
obligations on behalf of the above named entity). By signing below, I an authorized agent(s) of the above-named
entity, agree and bind the entity to the credit terms and agree to ensure
that all charges established are paid in accord with the terms and procedures
for credit (attached). Furthermore, I
authorize GINO'S AWARDS, INC. to investigate any and all credit history and
understand that this information will be used in the determination of credit
for future purposes. All information
disclosed will be kept confidential. |
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Signature |
Date |
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Signature |
Date |
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Signature |
Date |
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