| Corporate Accounts |
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Purchase Orders
ANTOnline.com does accept payment by purchase order. First, however, you must create a corporate account and apply for a credit account. You will receive a credit line activation e-mail when your application for a credit account is approved. Please allow up to 7-10 business days. Once the account is activated, you will be given the opportunity to enter a purchase order number in a field on the order form when you place your order. There is no need to mail a hard copy of your purchase order to ANTOnline.com.
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| CREDIT APPLICATION |
| Firm Name |
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| DBA (Doing Business As) |
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| Headquarters Street Address |
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| City, State, Zip Code |
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| Phone Number |
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| Fax Number |
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| Business Type |
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| If a Corporation, what is your State of Corporation? |
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| Parent Company Name |
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| Business Start Date (Month/Year) |
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| Parent Company Address |
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| Parent Company City, State, Zip Code |
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| Principal Name |
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| Principal Title |
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| Principal Email Address |
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| Has this company or a predecessor of this company filed bankruptcy in the last 7 years? |
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| If yes, when? (Month/Year) |
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| What chapter was filed? |
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| What amount of credit are you requesting? |
$ |
| D & B Nnumber |
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| CREDIT REFERENCES - Bank and Trade |
| Bank Name |
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| Bank Account Nnumber |
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| Bank Phone Number |
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| Bank Address |
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| Bank City, State, Zip Code |
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| Bank Contact Name |
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| Bank Contact Phone Number |
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| Reference 1 |
| Company Name |
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| Account Number |
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| Phone Number |
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| Address |
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| City, State, Zip Code |
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| Reference 2 |
| Company Name |
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| Account Number |
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| Phone Number |
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| Address |
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| City, State, Zip Code |
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| Reference 3 |
| Company Name |
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| Account Number |
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| Phone Number |
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| Address |
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| City, State, Zip Code |
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