Cassiani Collection Favors
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CREDIT APPLICATION FOR DROP SHIPPERS AND WHOLESALERS: Print Form

Data fields marked with an asterisk (*) are required to complete your registration with Cassiani Collection Favors.
Notes: Term is only offered to customers who have been doing business with us for at least six months.

* Contact Name: * Email:
* Company Name: * Phone:
Address1: Fax#:
Address2: City:
State/Province: Zip Code:
Reseller Sales Tax ID#: Business Type:
Length of Time in Business: Owner/Manger:
Accounts Payable Contact: Accounts Payable Email:
Description of your Business : * Credit Limit Requested:
   
Credit Reference:  
   
* Company(A) Name: * Contact:
* Phone Number: Fax:
* Company(B) Name: * Contact:
* Phone Number: Fax:
* Company(C) Name: * Contact:
* Phone Number: Fax:
   
   
Bank Reference:  
   
* Bank: Fax:
* Phone: * Contact:
Bank Account Number:  
 
   

Customers agree to make all payments within Cassiani Collection Favors 20 day or other stated terms. In the event it becomes necessary to file a lien, suit or engage a collection agency or attorney, customer agrees to bear all expenses incurred, including but not limited to attorney fees, court costs and interest.



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