VENTIQUES CREDIT

Free Shipping On Orders Over $100!

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

COMPANY INFORMATION

Full Legal Name/Business Entity

Types Of Ownership

Sole Proprietorship Partnership Corporation Other

Are you member of a buying group

Yes No

Property Information

Lease/Annual Payment Own/Annual Payment

CONTACT INFORMATION

Second Owned,if applicable

Accounts Payable Contact

ADDITIONAL CONTACT INFORMATION

Ventiques communicates important information regularly to its customers. Please provide an email address for each person below, if there is not an email address available please provide a phone number. If all emails should go to the primary contact above

Sales & Marketing Contact

Specials/Promos Contact

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.