A-C-E-S Online Credit Application

[FrontPage Save Results Component]

Please provide the following contact information:

Enter the date of ... :

-- mm/dd/yy
Time In Business
Type of Business:
Number of Employees:
Federal Tax ID #:
Tax Resale Certificate #:
Choose one of the following options:

Corporation
Partnership
Proprietorship
List 3 Officer OR Owner (Authorized to Sign documentation) to include Name, title, % of ownership, address and SSAN
List 3 Bank References to include Firm Name, Branch and/or Account Number, Contact Officer & Phone Number
List 3 Trade References to include Firm Name, Branch and/or Account Number, Contact and Phone Number
Please list the equipment that is planned on being leased/purchased VIA this form:

Product Name
Please SUBMIT this form, and also print out and sign this form and either mail or fax to our offices.
For the purpose of securing Purchasing / Lease financing, I authorize all deposit and borrowing information to be released by telephone or Facsimile (FAX) to the finance company of Advanced Communications Equipment Specialists's choice.
Signature Title Date
Owners Personal Guarantee:
Printed Name Signature