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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Credit Form
To order, please complete all items in the form below.
All items in RED must be filled in!!
Date:  Complete Legal Name:
Street Address:
City: State or Prov.: Zip or Postal Code:
Country:   Phone No.:
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.
Firm Name:
Contact:
Mailing Address:

Fax:

Address:
City:
State/Prov/Country:
 Zip:
Firm Name:
Contact:
 		Mailing Address:
 		Fax:
Address:
City:
State/Prov/Country:
Zip:
Firm Name:
Contact:
 		Mailing Address:
Fax:
Address:
City:
State/Prov/Country:
Zip:
Company Principals Responsible for Business Transactions.
Name
Title
Since
Mailing Address
c/o ownership:
c/o ownership:
c/o ownership:

Applicant Name:

Title: Date:
Email Address:   


Additional Information to assist us in your request:


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