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CREDIT
APPLICATION

Complete this application to establish a credit account with Indeco North America.

Name

Legal Name, as registered:

DBA Name:

Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Contact:

Title:

Phone:

Fax:

Email:

State in Which Incorporated:

Business Structure

If LLC - Managing Member:

Number of Members:

Date Business Started:

Year End:

Type of Business:

Number of Employees:

DUNS #:

Federal ID #:

Principal Owners / Officers

How Many Principal Owners / Officers?

Credit References

Include Finance Companies, Leasing Companies, Banks, and Suppliers.

Bank:

City / State:

Account #:

Phone:

Name:

City / State:

Account #:

Phone:

Email:

Name:

City / State:

Account #:

Phone:

Email:

Name:

City / State:

Account #:

Phone:

Email:

Initial Credit Request

Equipment / Parts to be Financed

Approximate Amount:

Terms Requested:

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Get Started

READY TO GET STARTED?

Have a question about your Indeco equipment, or looking for the right attachment for your application? Our team and distributor network are here to help.

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CREDIT APPLICATION

Name

Business Structure

Principal Owners / Officers

Credit References

Initial Credit Request

READY TO GET STARTED?

CREDIT
APPLICATION