Lancaster Trading House Inc.1-800-USE-HEMP(USA Only) W/S Distribution

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Monday, July 24, 2017

Credit Application

Lancaster Trading House, Inc. / Hempzels© , Natalie's Choice™ 1-800-USE-HEMP
CREDIT APLICATION - (under construction) - 
¨ Lancaster Trading House, Inc.   ¨ Hempzels©    ¨ Natalie's Choice™  (Please Check One)
             
             
  Check One: Corporation
     
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Partnership
     
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    Proprietorship Agency  
    Other
 
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  Official Name of Firm:    
             
  Trade Name of Firm:    
             
  Year Incorporated:   Under State Laws of:    
             
  Address 1:    
             
  Address 2:    
             
  City / State / Zip:    
             
  Phone Number:   Fax Number:    
             
  Home Address of Corporate Officers, Partners, Owners, etc.      
             
  Name & Title Address City / State Zip Code Telephone  
             
1)    
             
2)    
             
3)    
             
  Bank Reference          
             
  Bank Name:   Branch:    
             
  Bank Contact:   Telephone:    
             
  Account Number:        
             
  Four Firms now extending credit (List Business References First)    
             
  Name Address City / State Zip Code Telephone  
             
1)    
             
2)    
             
3)    
             
4)    
             
             
  The undersigned hereby authorizes Lancaster Trading House, Inc. to obtain credit information pertaining to the  
  undersigned and if an account relationship is formed, the undersigned authorizes Lancaster Trading House, Inc.  
   to disclose credit information for the undersigned account to third parties.  
             
  Lancaster Trading House, Inc. requires payment within 10 days of invoice date unless otherwise contracted.  
  Brokers are jointly and severally liable to the House  for payment due  
  hereunder and the House  may hold either liable therefore.  If payment is not made within terms and the  
  matter is assigned for collection, any previously allowed agency commission is deemed as waived by the  
  customer and broker assigned.  In the event of default in payment of the above account customer and broker are   
  jointly and severally liable for collection and court costs including a reasonable attorney's fee.  
             
         
  Completed By   Name of Firm  
             
         
  Title   Date  
             

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