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Company:*
Company Address:*
Company City:*
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Company Zip:*
Company Phone:*
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Company Email:*
Federal Tax ID:*
Owner First Name:*
Owner Last Name:*
Owner Address:*
Owner City:*
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Bank Name:*
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TRADE REFERENCES
Trade Reference #1 Name:*
Trade Reference #1 Phone:*
Trade Reference #1 Contact:*
 
Trade Reference #2 Name:*
Trade Reference #2 Phone:*
Trade Reference #2 Contact:*
 
Trade Reference #3 Name:*
Trade Reference #3 Phone:*
Trade Reference #3 Contact:*
 

The undersigned, individually and on behalf of the Company does certify that the above information has been submitted for the purpose of securing authorized dealership, and is true and accurate to the best of his/her knowledge. 

In consideration of Classic Custom Shutters, Inc. extending future credit from time to time to the Debtor, and other valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Guarantor, personally guarantees the prompt, full and complete performance of any and all present and future duties, obligations and indebtedness (the "Debt") due to the Lender by the Debtor.

 
Signature of individual as Guarantor:*
Driver's License #:*
Drivers License State*
Drivers License Expires:*

Note: an online submission of this form represents signature of Guarantor.

 
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