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    General Information

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    Business Information (please attach a list of any additional locations below)

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    Trade Reference Information is required. The applicant hereby authorizes Safilo to obtain references from the businesses provided.

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    Bank Reference Information is required. The applicant hereby authorizes Safilo to obtain a reference from the Bank provided.

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    Guarantor (owner, partner, or other responsible party who personally guarantees payment to Safilo)

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    Guarantor Signature


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    Attachments

    If your business is Sales Tax Exempt, your Certificate must be attached below. If the credit limit requested is $50,000.00 or more, your last year-end and most recent Financial Statements must be attached. (Financial Statements are: Balance Sheet, Income Statement, Cash Flow Statement, Statement of Changes in Equity.) Feel free to attach any other document(s) that are relevant to the Application decision process.
    Attachment Description Attachment Location
    NOTE: You may attach up to 5 attachments with maximum size of 10 megabytes

    Terms and Conditions

     
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    PRINT AGREEMENT
    * I agree to the terms and conditions specified above.

    User Verification

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