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Almor Design Inc. Credit Report Form
* Required Fields
Attn*
DBA*
Years In Business*
Legal Business Name*
Mailing Address*
Suite
City*
State and Zip Code* State:  Zip Code: 
Shipping Address*
Suite
City*
State and Zip Code* State:  Zip Code: 
Phone Number*
Fax Number*
E-Mail*
Confirm E-Mail
Contact Name 1*
Function*
Contact Name 2*
Function*
 
Name Of Owner, General Manager, President*
Type Of Business*
Listed JBT*
Rating
References: List three suppliers that you have had a relatively long history or a volume. AGTA members or supplier in New York are preferred.
Company*
Address*
Suite
City*
State and Zip Code* State:  Zip Code: 
Phone Number*
Fax Number*
E-Mail
Company2
Address
Suite
City
State and Zip Code State:  Zip Code: 
Phone Number
Fax Number
E-Mail
Company3
Address
Suite
City
State and Zip Code State:  Zip Code: 
Phone Number
Fax Number
E-Mail
Introduced By
This Form Completed By:
Name*
Title*
Initials

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