Quality Manufacturing, INC :: Online Credit Application

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Credit Application

Quality Mfg., Inc 4111 Jimbo Drive Burton, MI 48529 Phone: 810-743-7046 Fax: 810-743-3341
CREDIT APPLICATION BUSINESS To request credit online, complete and submit this form. You may also fax or mail your credit application to us. A printer friendly version of this application is available here. This is a pdf document and requires Acrobat Reader.
Company Name:
Billing Address:
Street Address:
City, State, Zip:
Phone:	Fax:
Type of Business: Corporation Partnership Sole Proprietor

(If corporation, list names of officers and titles. If other entity, list names of partners or owners.)
Name				Title
Name				Title
Name				Title
Name				Controller
Name				A/P Contact
Date Started:				Type of Business:
Parent Company Name, Address, Phone:

Bank Reference:
Name of Bank		Address, City, State, Zip
Account Number		Officer to Contact
Phone Number

Business References:
Name of Business (1)		Address, City, State, Zip
Phone		Fax
Contact Name

Name of Business (2)		Address, City, State, Zip
Phone		Fax
Contact Name

Name of Business (3)		Address, City, State, Zip
Phone		Fax
Contact Name

This application for credit is to be authorized by an official of the Company.
Name	Title
Date

Qualitymanufacturinginc.com does not collect personally identifying information about any individual website user except when knowingly provided by such individual in our credit application or contact form. Such information is only used for those specific purposes and is never shared with other parties.