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Credit Application

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Company Contact
Feb-22-2012
Company Information
Corporation
Partnership
Sole Proprietorship
Government Agency
Other
Yes
No
Subsidiary Division
Yes No
Owners, Partners, Officers
Trade References
Bank Reference
Taxes
Yes   No
If you are tax exempt please download and complete this document. Email or fax it to:
Email: allcredit@walkerfirst.com
Fax: 336-731-3089

Sales Tax: Please provide appropriate tax documentation for all states in which your company is tax exempt. Taxes will be charged in any states in which Walker and Associates, Inc is registered until we receive the appropriate documentation.

Signature

Type your name (Owner, Officer, or Principal)
Applicant typed signature warrants that the above information and related financial disclosure is true and accurate. By submitting this application you authorize Walker & Associates Inc. to make inquiries into the banking and business/trade references you have supplied you have also read and agree to the terms and conditions of the sale.

By submitting this this form you are agreeing to our terms and conditions

© 2012 Walker and Associates