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Application for CoolSports™ Dealer
( "
*
" Means required field)
Applicant Information
*
Company Name:
*
Owner Name:
*
Company Address:
*
Tel:
*
Fax:
*
Contact Name:
Mr.
Ms.
Tel:
*
E-mail:
Business Information
*
Tax I.D. No.:
D&B No.:
*
Doing Business Since:
*
Doing Scooter Business Since:
*
Total Last Year Sales:$
*
Number of Monthly Sold:
LOW
$10,000.00
$20,000.00
$50,000.00
$100,000.00
$200,000.00
UP
(Last Three Months)
*
Business Space:
Store Space:
sq.ft.
*
Warehouse Space
sq.ft.
Bank Information
*
Bank Name:
*
Account Open Since:
Bank Credit Line $
Current Credit Line Balance:
Amount Past Due:
*
Term of Sale:
Manner of Payment
General Comments:
*
Application By:
*
Date:
(This information will be held in strict confidence, and used for our Dealership and our credit purpose only.)
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ab-da.com
Add: 8788 Westpark RD, Houston TX 77063 USA Toll Free: 1-866-539-7603 Tel: 832-252-1996 Fax: 832-252-1684
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