Ringo Hill Dealer Credit Application Form

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Dealer Credit Application

Thank you for your interest in opening an account with Ringo Hill Farms Equipment Co., Inc. Upon completion and submission of this form, we will evaluate your request.

Your Email Address:
Company Name:
Company Address 1:
Company Address 2:
City:
State:
Zip Code:
Company Phone Number:
Company Fax Number:

Is your Company a:
Company President's Name:
Company Vice President's Name:
Company Treasurer's Name:
Company Secretary's Name:
Date Business Started:	/ (mm/yyyy)
Length of time you have Owned the Company:	years

Name and Address of bank(s) with whom you do business:
Bank Name:
Bank Address:
Bank City:
Bank State:
Bank Zip Code:

Bank Name:
Bank Address:
Bank City:
Bank State:
Bank Zip Code:

Business Credit Reference - Please provide the name, address, phone, and fax number of four (4) business credit references (all information must be filled out to be processed).
Name:
Address:
Phone:
Fax:

Name:
Address:
Phone:
Fax:

Name:
Address:
Phone:
Fax:

Name:
Address:
Phone:
Fax:


Additional Information:
Taxexempt Number:
County in which your company is located:
Type of business:
Are you a licensed trailer dealer?
Are you operating from a residental address?

We Accept:

Call Us At:
610-346-7340