Grateful Mind Enterprise: Client Information Form
Grateful Mind Enterprise: Client Information Form
Grateful Mind Enterprise: Client Information Form
_____________________________________________ ______________________________
______________________________________________________________________________
TYPE OF BUSINESS:
IF SINGLE PROPRIETOR:
CAPACITY Investigated
By: ____________
CAPITAL
C&C
RES./CONDITIONS
Date: __________
FINDINGS:_____________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
Check appropriate boxes and indicate below the reasons for approval,
disapproval, or reconsideration of disapproved application. No delivery
shall be made unless the application has been approved and signed and the
required documents submitted.
Reviewed by:
Reasons: ______________________________________________________ _________________
______________________________________________________________ CO Date______
______________________________________________________________
______________________________________________________________
CREDIT LIMIT APPLIED FOR: _____________________ CREDIT TERMS: ____________________
I hereby certify that information stated here is true and correct. I hereby agree that all our
purchases on credit shall be subject to the terms and conditions stipulated in your invoices. I
also hereby authorize your company to do necessary credit investigation on my behalf. If any
misinformation occurs during the investigation and background checking, your company has
the right to cancel my application for credit term.
__________________________________
Signature over Printed Name/Date
REQUIREMENTS TO BE SUBMITTED: