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Company Name
Address
Address (cont.)
City
State
Zip Code
Phone
Years At  This Address

          Hereby applies for credit in accordance with the terms and conditions of:

        Sewing Specialties
        6912 Gravois Road
        St. Louis, MO 63116

          The following information will be held in the strictest confidence.

          The Applicant is a(n):

Corporation     Partnership     Individual 

           Names of Principals:

1.
2.
3.

          Bank Information:

Bank Name
Bank Address
Address (cont.)
City
State
Zip Code
Bank Phone
Contact Name

          List of References:

1.
2.
3.

          Credit Terms:
          Interest will be charged at 18% annum on all overdue balances.  
          Place of Settlement: Missouri

          We certify that all information on this form is correct.  We fully understand your credit
          terms and agree to the proper payment in consideration of extended credit.

Your Name
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