Schaff Piano Product Catalog - page 184

184
Name of Firm
How long at
or Individual
this address:
Address
Phone #:
Fax #:
City, State, & Zip
The above-mentioned hereby applies for credit in accordance with the terms of:
Schaff Piano Supply Co., 451 Oakwood Road, Lake Zurich, IL 60047
Normal Credit Terms: Net 30 days
Phone: 847-438-4556 Fax: 847-438-4615
Please furnish complete names, address and zip codes, as well as complete account numbers where applicable.
The information provided will be held in the strictest confidence.
OWNERSHIP:
Corporation
If corporation, owners name:
Partnership
Date Incorporated:
Individual
BANKING:
Name of Bank
Address
City, State, & Zip
Phone #
TRADE REFERENCES:
Please give COMPLETE names and addresses of those you buy from on an open account
Department Stores and Credit cards will not release information on their accounts
Name
Address
City, State, & Zip
Fax #
1.
2.
3.
Account #’s
Checking
Savings
To Whom it may concern:
This Shall Constitute your full and sufficient authority to release
Re:
Schaff Piano Supply Co.
any and all information which may be required by the above described
451 Oakwood Road
Schaff Piano Supply Company to enable them to complete a credit
Lake Zurich, IL 60047
check in my name.
My accounts held at your branch: Checking Acct. #
Savings Acct. #
Signed
Date
Thank you!
Schaff Piano Supply - Application for Credit
I/We certify that all information on this form is correct, and that we fully understand your credit terms and agree
to the proper payment in consideration of extended credit.
Signed:
Date:
BANK RELEASE AUTHORIZATION
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