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  •  photo FuquaCompanies_zpsf82c635b.jpg

    Welcome to Fuqua Companies

    Customer Credit Application


Page 1 Index

  • BILLING INFO


  • DELIVERY INFO


  • ONLINE ORDERING INFORMATION

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  • OWNER INFO

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  • Credit Card Information
    (ONLY APPLICABLE IF PAYING BY CREDIT CARD)

  • Bank Draft Authorization
    (ONLY APPLICABLE IF PAYING BY BANK DRAFT)


    CUSTOMER INFORMATION

  • FINANCIAL INFORMATION

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  • *If COD option is chosen no references are required.

  • REFERENCES


  • Bank References 1


  • Bank References 2


  • Trade References 1


  • Trade References 2


  • Personal Reference Name

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  • PERSONAL GUARANTEE


    For consideration of the extension of credit, I hereby personally guarantee payment of all charges made in connection witht his account. I waive any requirement that Fuqua Paper Supply, Fuqua Companies, Fuqua Property Maintence, LLC notify me of default by the buyer. This shall be a continuing personal guarantee and shall not be affected by any modifications to this agreement with or without my consent.


    I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, 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 contained herein.
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