Credit Application Benny's Credit Application For the purpose of establishing credit, the following information is required: Applicant's Firm Name* Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Billing Phone*Accounts Payable Contact* Accounts Payable Phone*Accounts Payable Fax*Accounts Payable Email Address* Type of Business* Individual:*(Owner) Partnership:*(Partner) Corporation*(If not a Corporation, list N/A)PresidentVice PresidentTreasurerSecretary Trade ReferencesWe have open credit accommodations with the following businesses:REFERENCE 1* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number*Fax Number*Contact Name:* REFERENCE 2* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number*Fax Number*Contact Name:* REFERENCE 3* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number*Fax Number*Contact Name:* REFERENCE 4* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number*Fax Number*Contact Name:* PhoneThis field is for validation purposes and should be left unchanged.