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Credit Application

Fillable Application (.docm) Fillable Application (.docx) Application (.pdf)

Please complete the below and hit submit. Standard terms are NET 30 Days upon approval. For further questions or inquiries, please call our accounting (Accounts Receivable) department in Los Angeles (323)721-5598. Thank you.

Contact Person Information

Application Date:

Company Information







*please attach certificate

Billing





Ship To

Same as Billing Address




Ownership



Bank References

I included bank references in the upload files




Trade References

I included trade references in the upload files

Trade Reference 1:






Trade Reference 2:






Trade Reference 3:






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The undersigned applies for open account credit with Zemarc Corporation and agrees that all sales are made permanent to this application will be subject to the terms and conditions of sale set forth on the reverse side hereof. All statements made herein are true and accurate to the best of my knowledge. I authorize the above company to make any and all inquires necessary for action on this credit application. We hereby indemnify the above company and its agents from any liability resulting from their credit survey. Should it be necessary at any time to take legal means to collect any monies, I hereby agree to pay the attorney fees.

I accept the terms and conditions