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Three Federico Drive Pittsfield MA 01201 Phone 413-442-4166 Fax 413-442-8612 CREDIT APPLICATION Date Corporation Name Corporation Address Year Incorporated City State Zip Bank 1 Street Suppliers 5 The undersigned acknowledges our terms of Net 30 days a 1. 5 service charge 18 annual will be assessed on past-due balances. Accounts are not current until finance charges are paid. Signature.
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