Auto
AD Onz Dealer Application / Questionaire
Please mail this to
Auto AD Onz 1477 S State,
Business Name:__________________________________ (DBA):_______________________________
Address:
Phone #:________________________________________ Fax#:_________________________________
Email address:_____________________________ Contact name :_______________________________
Fed tax Id #:___________________ Ever declared bankruptcy?:__________________________________
Corporation Sole
Owner Partnership LLC Other (circle one) year established?:____________
Note: If you have a partnership or LLC, you must include copies
of organization papers
Dollar amount of purchases monthly:?_____________ Amount of credit requested:________________
Dunn & Bradstreet #_________________________
Business Bank:___________________________ Bank phone #:________________________________
Address:_________________________________ City__________________________ Zip___________
Account number:__________________________ Contact name:_________________________________
Principal #1 Name:_________________________ Title:_________________ % ownership__________
Business References (must have 3)
Reference Contact City State Phone number
________________ ________________
__________ _____ ____________________________
________________ ________________
__________ _____ ____________________________
Name of person filling out application:___________________ Position:___________________________
By signing, I allow Auto ADonz to
use the above information in ways necessary to obtain credit and verify the
information as correct and true.
Signature:______________________________________ Date:____________________________________
**Along with this application
please send in a copy of your sales tax license and organization papers (if
needed)