Zimmerman Auto Body Supplies Credit Application

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Years of Business at this Address:

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Authorized Purchasers

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ZIMMERMAN AUTO BODY SUPPLIES, INC TERMS

2% 10th, net 30. A statement will be sent at the end of each month to all accounts with a balance. Accounts that go 60 days overdue are automatically put on COD.

Credit Manager: Greta S. Poplavskyy

My Name Is:

My Title Is:

My Email Is:

I certify that all the information on this form is correct. We fully understand your credit terms and agree to the proper payment in consideration of extended credit.