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We will only use this email to send you a copy of the completed account application.
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Name [[ section2.fields.name ]]
Legal Name [[ section2.fields.name_legal ]]
Billing Address
[[ section2.fields.billing_line_1 ]]
[[ section2.fields.billing_line_2 ]]
[[ section2.fields.billing_city ]], [[ section2.fields.billing_state ]] [[ section2.fields.billing_zip_code ]]
Shipping Address
[[ section2.fields.shipping_line_1 ]]
[[ section2.fields.shipping_line_2 ]]
[[ section2.fields.shipping_city ]], [[ section2.fields.shipping_state ]] [[ section2.fields.shipping_zip_code ]]
Phone Number [[ section2.fields.phone_number ]]
Fax Number [[ section2.fields.fax_number ]]
Bank Name [[ section3.fields.bank_name ]]
Bank Account Number [[ section3.fields.bank_num_account ]]
Bank Address [[ section3.fields.bank_address ]]
Bank Contact [[ section3.fields.bank_contact ]]
Bank Phone Number [[ section3.fields.bank_phone_number ]]
Owners
[[ owner.full_name ]] [[ owner.email ]]
Trade References
[[ reference.name ]] [[ reference.phone_number ]]

I wish to make an application for credit with Woodward Meat Purveyors Inc. I hereby certify that the information provided is complete and accurate and has been provided with the understanding that it will be used to determine the amount and conditions of the credit to be extended. I authorize the financial institutions and trade references listed in this credit application to release information on an ongoing basis for the approval and continuance of credit. I acknowledge that credit may be adjusted or withdrawn without notice on overdue accounts at the discretion of Woodward Meat Purveyors Inc. I agree to pay all finance charges (2% per month, 24% per annum) including collection and legal fees that may result from late payment or nonpayment of all past due balances.

By submitting this application to Woodward Meat Purveyors Inc, I agree that my electronic signature is the legally binding equivalent to my handwritten signature.

[[ section1.fields.first_name ]] [[ section1.fields.last_name ]]
17th January 2020
Must accept Terms and Conditions.

An email has been sent to [[ section1.fields.email ]] with a PDF attachment of the completed account application for your records. Once the references have been checked and the application is approved we'll send a follow up email outlining the credit terms extended to you.

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