Professional Nail Art Design
 


CREDIT PROFILE APPLICATION

Please complete the following to set up an account. Credit line is based on all information provided.
If you prefer to fill out a standard application and fax the form in, please print the form here.

* (R) = required field

Company Info
 
Company Name:
(R)
Owner Name
(R)
Address:
(R)
City:
(R)
State:
(R)
Zipcode:
(R)
Phone:
(R)
Fax::
Email:
(R)
Years in Business:
 ...................................................................................................................
Buyer's Name:
(R)
Type of Ownership
(R)
If other please specifiy:
 
Account Payable Name:
(R)
# of Stores:
# of Sales People:
Market Type:
(R)
...................................................................................................................
Credit Reference 1
Name (R)
Address:
City:
State:
Phone: (R)
Fax:
Credit Reference 2
Name (R)
Address:
City:
State:
Phone: (R)
Fax:
Credit Reference 3
Name (R)
Address:
City:
State:
Phone: (R)
Fax:
Credit Reference 4
Name (R)
Address:
City:
State:
Phone: (R)
Fax:

* By clicking the submit button, you are acknowledging that all the information you provided is true and correct and you are authorizing Nails 2000 to contact the references given to verify your information.

* privacy policy


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