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VENTIQUES CREDIT

Ventiques

301 34th Ave S. Waite Park, MN 56387  Phone: 320-774-1999 Email: ventiques@gmail.com

Date:

Credit Application

COMPANY INFORMATION
CONTACT INFORMATION
BANK REFERENCE
TRADE REFERENCES

The undersigned individual who is either a principal of the credit applicant or a sole proprietorship of the credit applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the credit history of the applicant, hereby consents to and authorizes the use of a consumer credit report on the undersigned by the above named business credit grantor, from time to time as may be needed, in the credit evaluation process.

For Internal Use Only