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Uniflight Credit Application
IMPORTANT: It is very important that all fields of this application are filled in properly. This will help us expedite your credit application with Uniflight.

You may call or FAX us at:    Telephone (972) 623-3444    FAX (972) 623-2414


* Name :
* Email :
* Company :
* Address :
* City :
* State : * Zip :
   
* Fed ID No.
* Phone :
Fax :
* DUNS#
   

Banking References

* Name Of Bank
* How long?
* Telephone
* Contact Person
   
Name Of Bank
How long?
Telephone
Contact Name

Sales Tax Exemption Number

* Sales Tax Exemption #

Supplier References

* Supplier Name 1
Credit Terms
How Long
Telephone
FAX
Contact Person
   
Supplier Name 2
Credit Terms
How Long
Telephone
FAX
Contact Person
   
Supplier Name 3
Credit Terms
How Long
Telephone
FAX
Contact Person
   
Supplier Name 4
Credit Terms
How Long
Telephone
FAX
Contact Person
   

Company Information

President Authorized to order
Vice President Authorized to order
Treasurer Authorized to order
Secretary Authorized to order
Other Authorized to order
   

Company Owners

Owner 1
Owner 2
Owner 3
Owner 4
   

Comment & Message Area

* Your comments or questions regarding this credit application: 

* Security test. Please identify the pictures :

   
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