Page 11 - Complete Catalog
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HOSELINE, INC.
701 NW 37th AVENUE
OCALA, FL. 34475
(407) 892-2599
Email: acctsrec@hoseline.com
APPLICATION FOR CREDIT: Must send State Sales Certificate!!!!!**
We wish to open an account with your company and submit the following information to enable
you to obtain a credit history for that purpose.
PLEASE INCLUDE VENDOR’s EMAIL TO SPEED PROCESS
FIRM NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
YOUR ACCOUNTS PAYABLE EMAIL:
Type of Business **State Tax #
Fed Tax No Corp Partnership
Proprietorship Years Established Date of Incorporation
Principals (Names of Officers or Owners)
Position
Position
Must have a minimum of 10 vendors listed
TRADE REFERENCES
1. NAME ACCOUNT #
ADDRESS
CITY STATE ZIP
PHONE EMAIL
2. NAME ACCOUNT #
ADDRESS
CITY STATE ZIP
PHONE EMAIL
3. NAME ACCOUNT #
ADDRESS
CITY STATE ZIP
PHONE EMAIL
4. NAME ACCOUNT #
ADDRESS
CITY STATE ZIP
PHONE EMAIL
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