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thetapeworks.com |
Harrrison Bros. Inc. |
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47 North Chatham Parkway |
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Chapel Hill, NC 27517 |
Print this page, fill it out and return fax to (800) 327-6651.
If you would prefer to complete this process by telephone,
please call us at (866) 386 8335.
Credit applications can normally be processed within 48 hours,
upon receipt of a completed application.
Credit Application
Date: ______________________________________________________
Company Name: _____________________________________________
Address: _____________________________________________
City: ___________________________ State:________ Zip _______
Telephone: _______________________ Fax ___________________
e mail: ____________________________________________________
Person Submitting Application: __________________________________
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Trade References |
Trade References |
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Company Name ____________________________ |
Company Name ____________________________ |
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Address ____________________________ |
Address ____________________________ |
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City __________ State ____ Zip ____ |
City ___________ State ___Zip _____ |
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Telephone __________ Fax _____________ |
Telephone ___________ Fax _____________ |
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Contact ____________________________ |
Contact _____________________________ |
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Trade References |
Trade References |
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Company Name ____________________________ |
Company Name ____________________________ |
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Address ____________________________ |
Address ____________________________ |
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City __________ State ____ Zip ____ |
City ___________ State ___Zip _____ |
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Telephone __________ Fax _____________ |
Telephone ___________ Fax _____________ |
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Contact ____________________________ |
Contact _____________________________ |
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Bank References |
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Bank Name ________________________________________ |
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Contact ______________________________________ |
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Telephone _______________ Fax _________________ |