ARMM Inc
PO Box 43
Alamance NC 27201
Phone: (336) 790-2576
Fax: (336) 578-3094

APPLICATION FOR CREDIT

Company’s Legal Name _____________________________________________________________

Street address ______________________________________________________________________

City, State, Zip _____________________________________________________________________

Billing Address _____________________________________________________________________

City, State, Zip ______________________________________________________________________

Accounts Payable Contact _________________________Phone_______________________________

OWNERSHIP:

Type of company: Sole Proprietor __________ Partnership ___________ Corporation ____________

President’s (owner’s) name ____________________________________________________________

Controller’s (Head of Finance) name _____________________________________________________

Federal ID# _________________________________________________________________________

CREDIT REFERENCES

Bank ____________________ Account #_________________ Phone___________________

Trade ____________________ Account # _________________ Phone ___________________

Trade ____________________ Account # _________________ Phone ___________________

Trade ____________________ Account # _________________ Phone ___________________

Sign by officer or owner:______________________________________ Date: __________________

Fax completed application.
Allow 3 days for approval.