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Credit Application
  
OdorZone, LLC
P.O. Box 11770, Memphis, TN 38111
Phone: 901-377-5314  Fax: 901-377-5869
 
Fields noted with a * must be completed.
  
LOCATION ADDRESS
 
* Customer's Legal Name:
* Trade or Business Name:
* Street/P.O. Box:
* City:
* State:
* Zip:
* Phone Number xxx-xxx-xxxx:
* Fax Number xxx-xxx-xxxx:
* E-Mail Address:
 
MAILING ADDRESS
 
* Street/P.O. Box:
* City:
* State:
* Zip:

 
OWNER INFORMATION
 
* Owner of Premises:
   Type of Business: Individual  Partnership  Corporation  S-Corporation  LLC  Other
* Individual Owner(s)/Partner(s):
 
OTHER INFORMATION
 
* Social Security Numbers:
* Driver's License Numbers:
* Managing Partner:
* Corporate President:
* Corporate Secretary:
* Federal Employer ID#:
* State Revenue ID#:
   State Resale Tax#:
   State Nonprofit Tax#:
* How Long in Business:
   Prior Business Name (If any):
* Party Responsible for Payment:
 
BANK REFERENCES
 
* Bank Name:
* Bank Address:
* Phone Number xxx-xxx-xxxx:
* Account Officer:
* Bank Account Number:
 
IF HOTEL, MOTEL, OR APARTMENT
 
Purchaser a Managment Firm?: YES - we are only a management firm  NO - we are not just a management firm
Address of Home Office:
Employer of Management Firm:
 
CREDIT REFERENCES
 
We are authorizing you to contact the references provided in order to obtain
the proper information to consider granting credit privileges to us:
 
(Company Name, Address, & Telephone Number)
 
* 1.
* 2.
* 3.


Purchaser agrees to a service of 1.5% to be charged monthly on the balance owed on this account if account is not paid within 30 days from date of invoice.  Purchaser also agrees to pay all attorney's fees, court costs & all other costs which may be incurred by OdorZone, LLC. in the collection of this account until said account is paid in full.
 
 
* Purchaser:
NOTE: I understand that entering my name digitally in the signature box above authorizes OdorZone, LLC to process my credit application.