The Auto Barn, Inc. Credit Application

The Auto Barn, Inc. Credit Application
Name / Address
Business Name*
Full Address

Company Information
Type of Business*
In Business Since*
Person Authorizing Tow*
Does your company require purchase orders?*	Yes No
What types of equipment or vehicles are associated with your business?


A/P Contact
Person our credit dept. should contact concerning payment questions*
A/P Phone Number*
A/P Fax Number
A/P Email
Does your company pay 30 or 45 days - other*	30 Days 45 Days Other

Trade References
Company Name 1*
Contact Name 1*
Address 1*
Phone 1*
Fax 1

Company Name 2*
Contact Name 2*
Address 2*
Phone 2
Fax 2

Company Name 3
Contact Name 3
Address 3
Phone 3
Fax 3