Picadilly Fashions :: Credit Application

ONLINE CREDIT APPLICATION

L'Application française de Crédit | United Kingdom Credit Application

To be considered for credit, the company applying must have favorable references and fill out our online credit application completely. This must include an authorization guaranteeing payment CREDIT WILL NOT BE EXTENEDED TO ANY CUSTOEMR FOR WHOM WE DO NOT HAVE A COMPLETE CREDIT APPLICATION ON FILE.

We appreciate your co-operation.

General Information

Legal Name

Operating Name

Business Address

City/Town

Province/State

Postal / Zip

Business Phone Number

Business Fax Number

Number of Years in Business

Number of Years at Present Location

Federal ID # (US Customers Only)

Type of Business

Sole Proprietorship

Corporation

Partnership

Building Facilities

Do You Own

Lease

Rent

if owned, is the facility mortgaged ? Yes No

Owner or Presidents Name

Owner or Presidents Home Phone Number

Bank Information:

Bank Name:

Bank Phone Number:

Bank Address:

Contact:

Account Number:

Credit References

Name:

Address:

City/State:

Phone Number:

Fax Number:

Name:

Address:

City/State:

Phone Number:

Fax Number:

Name:

Address:

City/State:

Phone Number:

Fax Number:

Name:

Address:

City/State:

Phone Number:

Fax Number:

	I have read and agree to Picadilly Fashions Credit Application Terms and Conditions found here: Credit Application Terms and Conditions

To send this application via the internet, please click "Submit". If you would like to fax your registration please print the application by clicking and fax your application to: 1-800-452-0065 Attn: Betty Belo

●	Sell Picadilly Fashions in your store
●	Retail CO-OP Advertsing Program
●	Employment Oppurtunities
●	Online Credit Application
●	Register an Online Ordering Account

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Spring Summer 2008

Fall Winer 2007