Manufacturer of Quality Synthetic and Metal Lifting Slings
6209 Industrial Court  Greendale, WI 53129  414.421.7303  Fax 414.421.7523 
www.safewaysling.com xxxxx sales@safewaysling.com
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To order, please complete all items in the form below.
All items in RED must be filled in!!

Date:  Complete Legal Name:
Street Address:
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Description of Business:   
Year Bus. Started: Year Bus. Inc: Annual Sales $:
Bank Reference: Bank Phone: Account No.:
Business Structure
Trade References: ALL three references must be filled in with current open account creditors that allow your firm to purchase $1,000.00 or more, within the last 12 months.
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Firm Name:
Contact:
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Company Principals Responsible for Business Transactions.
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c/o ownership:
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Applicant Name:

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