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Business Credit Application

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To apply for a credit line for monthly billing at Denton Media Company, please complete the application below.

Name/Address
Company Information
Bank References
Trade References
Certify and Signatures

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein. I will personally guarantee payment. Entering your name below in the field is an electronically signed signature.

By entering your name here you are agreeing to sign this form electronically.

Verify and Submit

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