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	Credit Application
	Instructions: • Complete sections A and B below. • Print this form by pressing the "PRINT" button on your browser screen. • Press the "CONTINUE" button to return to the previous screen. • Complete the new customer setup information on the previous screen. • When you complete the new customer setup you will be given a User Id. • Copy that number onto this printed credit application. • Sign this credit application to give us permission to verify your information. • Return the signed application to us.v
	Biz For Rent, Inc. P.O. Box 2591 Goldenrod, FL 32733 Fax (407) 331-1513

Company Information

Credit Information


Send Invoice By :	Email Fax Mail
Business Type :	Corporation Partnership Sole Proprietorship
Number Years In Business :
Dunns Number :
Bank Name :
Address :
City/State/Zip :
Contact Name :
Account # :
Phone # :
Credit Reference #1 Name :
Address :
City/State/Zip :
Account # :
Phone # :
Fax # :
Credit Reference #2 Name :
Address :
City/State/Zip :
Account # :
Phone # :
Fax # :
Credit Reference #3 Name :
Address :
City/State/Zip :
Account # :
Phone # :
Fax # :

As an authorized representative of the above named company, I hereby authorize those parties named above to release credit information to BizForRent Inc.
(signature)	(Title)
(Printed)	(Date)
System Assign User Id :

* indicates required entry

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