Resource Development Technologies Ltd.
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CUSTOMER CREDIT APPLICATION
  Corporate Name Trade Name (if different)  
  Organization Type Owner/Manager  
  Address City  
  State/Prov. Country  
  Zip / Postal Code E-Mail  
  Phone Business Fax  
  How long in business (years) D & B Rated  
  Credit Line Requested ($) Credit Terms  
 
Bank References
  Bank Name Bank Branch  
  Acct. Name Acct. No.  
  Bank Name Bank Branch  
  Acct. Name Acct. No.  
 
Trade References
  Name Address  
  Phone      
  Name Address  
  Phone      
  Name Address  
  Phone      
  Are financial statements available? Any other information you consider relevant  
 

I, the undersigned, authorize credit inquiries.
I further acknowledge that any credit privileges may be withdrawn at any time.
I certify the above information to be true and accurate, to the best of my knowledge.

  
  Your Name      
   

Thank-you!