30 day net (house account) credit application

CREDIT APPLICATION - Zacuto 30 day net (rental house account)

BANK REFERENCES

Name of Bank

Branch

Account No.

Contact

Address

Telephone

FIRM NAME	CONTACT	TELEPHONE	ACCOUNT SINCE

CONFIRMATION OF INFORMATION ACCURACY AND RELEASE OF AUTHORITY TO VERIFY
I hereby certify that the information in this credit application is correct. The information included in this credit information is for use by Zacuto Films Partnership in determining the amount and conditions of credit to be extended. I understand that the Zacuto Films Partnership may also contact other sources of credit information with it considers necessary in making this determination. By submitting this form, I hereby authorize the bank and trade references listed in this credit application to release the information necessary to assist the company in establishing a line of credit.

CREDIT APPLICATION - Zacuto 30 day net (rental house account)

ZacutoCopyright © 2006 [Zacuto]. All rights reserved. Revised: 03/03/08

Zacuto
Copyright © 2006 [Zacuto]. All rights reserved.
Revised: 03/03/08