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Credit Application

Credit Application
  • Account Information
  • Bank Reference(s)
  • Trade Reference(s)
Business Type

Officer(s) (If a Corporation)

%
Home Address
Home Address
City
State/Province
Zip/Postal

Owner(s) (If Sole Proprietor or Partnership)

%
Home Address
Home Address
City
State/Province
Zip/Postal
Business BillingAddress
Business BillingAddress
City
State/Province
Zip/Postal
Is your Physical Address same as Billing Address?
Business Physical Address
Business Physical Address
City
State/Province
Zip/Postal
Country
Sales Charge to be Charged?
If “NO” please provide a Sales Tax Exemption Certificate and return with this application, or you will be charged tax.
Maximum upload size: 8.39MB
Have you or any business with which you were affiliated filed any bankruptcy or reorganization proceedings within the last (10) years?

If Yes, state the name of the person or business who filed:

Have you or any business with which you were affiliated ever had an account with Wholesale Electric Caribe Inc.?

If Yes, state the name of the person or business who had the account:

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