Credit Application Continued $1,000-


Seeds Plants Tags


Supplies Total


    


$2,500     


1. Please indicate your total dollar volume purchases (after discounts) for the past year for the following cat e go ries. Under $1,000


$2,500- $5,000


    


$5,000- $10,000


    


$10,000- $25,000


    


$25,000- $50,000


    


Over


$50,000     


2. Your Comments/Suggestions__________________________________________________________________________________ __________________________________________________________________________________________________________ SUPPLIERS WHERE CREDIT IS ESTABLISHED FOR ONE YEAR OR MORE


1. Bank ____________________________________________________________________________________________________ Street Address ______________________________________City __________________________________State ____Zip ______ Telephone No. (_____) ______________________________Contact______________________Account Number ______________ Fax # ____________________________________________


2. Trade Reference __________________________________Product/Service Supplied__________________ Street Address ______________________________________City __________________________________State ____Zip ______ Telephone No. (_____) ______________________________Contact______________________Account Number ______________ Fax # ____________________________________________


3. Trade Reference __________________________________Product/Service Supplied__________________ Street Address ______________________________________City __________________________________State ____Zip ______ Telephone No.(_____) ________________________________Contact______________________Account Number ______________ Fax # ____________________________________________


4. Trade Reference __________________________________Product/Service Supplied__________________ Street Address ______________________________________City __________________________________State ____Zip Telephone No. (_____) ______________________________Contact______________________Account Number ______________ Fax # ____________________________________________Continued on Next Page


RUSH ORDER EN CLOSED FROM: _______________________________________________________________ _______________________________________________________________


_______________________________________________________________


PLACE STAMP HERE


11335 Concord-Hambden Rd. Concord, OH 44077


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