Altam Business Credit Application

Name(Required)

First Last

Website

Name of Business(Required)

Business legal Name

Tax I.D. Number(Required)

Busienss Tax ID Number or Social Security Number

Email(Required)

Phone(Required)

Bank References

Institution Name:(Required)

Checking Account(Required)

Banker Email(Required)

Tade References

Company Name(Required)

Credit Limit(Required)

Email or Phone Number(Required)

Company Name(Required)

Credit Limit(Required)

Email or Phone Number(Required)

Company Name(Required)

Credit Limit(Required)

Email or Phone Number(Required)

Consent(Required)

I agree to the Terms of Sale & Payment

By check marking this document you agree to all the terms and conditions of the terms of sale and payment which you can obtain a copy of at https://www.altammfg.com/terms-of-sale
All laws under the County of Los Angeles in the State of California.

I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information cotained herein.

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