CREDIT APPLICATION

Company Information

Company Name:
Physical Address:
City:
State:
ZIP Code:
Type of Business:
Phone:
Fax:
Contact Person:
Title:
Legal form under which Business operates:
Corporation Partnership Sole Proprietorship LLC
In Business Since:

Bank References

Reference 1

Bank Name:
State:
City:
Zip Code:

Reference 2

Bank Name:
State:
City:
Zip Code:

Trade References

Reference 1

Company Name:
City:
State:
ZIP Code:
Phone:
Fax:
Years Doing Business:

Reference 2

Company Name:
City:
State:
ZIP Code:
Phone:
Fax:
Years Doing Business:

Reference 3

Company Name:
City:
State:
ZIP Code:
Phone:
Fax:
Years Doing Business:

Order Form

Company Name:
Physical Address:
City:
State:
ZIP Code:
Contact Person:
Date Needed:
Phone:

Plant Order

Order 1

Qty:
Size:
Color:
Description:

Order 2

Qty:
Size:
Color:
Description:

Order 3

Qty:
Size:
Color:
Description:

Order 4

Qty:
Size:
Color:
Description:

Order 5

Qty:
Size:
Color:
Description:

Order 6

Qty:
Size:
Color:
Description:

Order 7

Qty:
Size:
Color:
Description:

Order 8

Qty:
Size:
Color:
Description:

Order 9

Qty:
Size:
Color:
Description:

Order 10

Qty:
Size:
Color:
Description:
 

Downloadable Forms


Golden State Growers Credit Application


Golden State Growers Order Form