Elevator buckets manufactured for agricultural or industrial use

Credit Application

All distributors can set up an account with Maxi-Lift by filling out a credit application. Fill out and email the form to us today. We will process your credit application and be in touch with you shortly after you have been approved for credit.

Company:
Contact:
Address:
City, State Zip:	,
E-mail:
Subsidiary Of:
	Proprietorship Partnership Corporation If corporation, which state


Principals:
Yr. Established:
Present Location Since:
No. Employees:
Type of Business:
Telephone:
Fax:
Bank Name:
Bank Location:
Bank Officer:
Bank Phone:
Bank Fax:
Dun & Bradstreet Number:


Credit References:

Reference #1
Company Name:
Address:
City, State Zip:	,
Telephone:
Fax:

Reference #2
Company Name:
Address:
City, State Zip:	,
Telephone:
Fax:

Reference #3
Company Name:
Address:
City, State Zip:	,
Telephone:
Fax:


Amount of credit desired:
Resale #:

Should a credit availability be granted by Maxi-Lift, Inc., all decisions with respect to the extension or continuation shall be in the sole discretion of Maxi-Lift, Inc. Maxi-Lift, Inc. may terminate any credit availability within its sole discretion. Should legal action become necessary to effect collection, the customer agrees that jurisdiction is in Texas and venue is in Dallas.
Application Completed by:
Position:
Date:

	ADDRESS: 16400 Midway Road Addison, TX 75001 P.O. Box 700008 Dallas, TX 75370-0008
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	PHONE NUMBERS: 800-527-0657...Toll Free 972-735-8855...Local 972-735-8896...Fax
	EMAIL: General Information
	International Distributors
	OFFICE HOURS: M-F 7:30-5:30 CST

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