I. K . Chughtai & Bros
Credit Application
After printing out this page and filling out the application,
please fax it to:
+92-432-268 221 or mail it to:
I. K. Chughtai & Bros.
P. O. Box # 2050
Sialkot-51310
Pakistan
For the purpose of obtaining merchandise from you on credit, we submit the following information and authorize you to contact the references given below.
Company Information
Firm Name _______________________________________________ Date of Application________________
Address ____________________________________________________________________________________
City/St/Zip ________________________________ Country _________________ Postal Code___________
Telephone ________________ Fax Number ________________ e-mail address_______________________
Proprietorship__ Partnership __ Corporation __ Soc Sec/Fed ID#___________
Year Established______ Years at Present Location______
Credit Rating
D&B Listed D&B Rating___________________________________
International Rating Ref. # __________________________________
Credit Terms
15 Days _____ 30 Days _____ 45 Days _____ 60 Days _____ 90 Days _____
Bank Information
Bank Name ____________________________ Account Number ___________ Telephone_________________
Address ______________________________________________________________ Fax_________________
City/St/Zip ________________________________ Country _________________ Postal Code___________
Trade References
Firm #1 Name __________________________ Account Number ___________ Telephone_________________
Address ______________________________________________________________ Fax_________________
City/St/Zip ________________________________ Country _________________ Postal Code___________
Firm #2 Name __________________________ Account Number ___________ Telephone_________________
Address ______________________________________________________________ Fax_________________
City/St/Zip ________________________________ Country _________________ Postal Code___________
Firm #3 Name __________________________ Account Number ___________ Telephone_________________
Address ______________________________________________________________ Fax_________________
City/St/Zip ________________________________ Country _________________ Postal Code___________
Authorized by _________________________ Signature _____________________________________
Title ____________________
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