Formosa Bridelite - Doing Business

Doing business with Formosa Bridelite is easy! Formosa Bridelite caters to the wholesale and resell community. In order to receive our best pricing and information, please take a moment to fill out the following application form. Our sales specialist will contact you when the account is established.


BUSINESS INFORMATION
Business Legal Name
Type of Business	Corporation Partnership LLCSole Proprietor
Nature of Business	Wholesale Retail Other (Description)
In Business since	Year Number of employees
E-Mail Address
Web Site Address
Business Address
City
State
Zip Code
Country
Telephone Number
Fax Number
1. Owner(s) / Officer(s) Name	Title
2. Owner(s) / Officer(s) Name	Title
Federal Tax ID
OR Social Security Number
State Seller's Permit No

BANK REFERENCES

(list minimum one of your primary banking institute, Please provide credit line information if applicable.)

1. Bank

Account#

Tel

Fax

Contact Person

2. Bank

Account#

Tel

Fax

Contact Person

TRADE REFERENCES

(total 3 trades required)

1. Company Name

Contact Person

Tel

Fax

2. Company Name

Contact Person

Tel

Fax

3. Company Name

Contact Person

Tel

Fax

BANK INFORMATION RELEASE

I, hereby, authorize (bank name) at (phone) to release all credit information requested by Golden Formosa concerning our company bank account(s)

acct# and

acct#

for the purpose of establishing a business account and credit re-rating with Golden Formosa.

Name

Authorized signature by typing your full name.

Date

Title



Copyright © 1998-2003. Golden Formosa. All Rights Reserved.