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5am till 5pm 6 days
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Mathews Food Distributors Fax Application To: 631-321-6858 Voice: 631-321-0015 Email:sales@mathewsfoods.com APPLICATION FOR CREDIT NAME OF BUISINESS BUSINESS ADDRESS .. CITY: .POSTAL CODE: TELEPHONE: ..FAX: . NAME OF OWNER: ... HOME ADDRESS: .. HOME TELEPHONE NUMBER: ..CELLULAR: .. DRIVERS LICENCE . NAME OF BANK: A/C #: ... ADDRESS OF BANK: BANK PHONE #: .BANK OFFICER (NAME): HOW LONG IN BUSINESS?: ... SUPPLIER REFERENCES SUPPLIER NAME PHONE NUMBER CONTACT NAME 1) 2) ... 3) I hereby agree I will pay all monies owing by the company and indemnify and save harmless Mathews Food Distributors from any loss, costs, or damages arising from any neglect or failure by the company to pay any monies owing to them. This indemnity is absolute and unconditional, and is binding upon all my heirs, executors and administrators. SIGNATURE .DATE: . PRINT NAME: .TITLE: .. |
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