Credit Application - Freedom Sourcing, LLC

Confidential Credit Application

We hereby apply for credit and certify that the information below is correct

"*" indicates required fields

General

Name of Firm*

Phone #*

Email*

Address*

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Federal Tax ID #*

Sales Tax Exemption #

Type of Business*

Years in Business*

Business Type*

Sole Proprietor

Limited Liability Company

Corporation

Officers*

Name

Title

Bank Reference

Bank*

Branch*

Phone #*

Address*

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Account #*

Account Type*

Savings

Checking

Credit References

Firm*

Phone #*

Email*

Address*

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Firm*

Phone #*

Email*

Address*

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Firm*

Phone #*

Email*

Address*

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Printed Name*

Title*

Signature of Applicant*

Confidential Credit Application

General

Bank Reference

Credit References

Headquartered in Tucson, AZ

International Sales Office Querétaro, México

Contact Us!

Confidential Credit Application

General

Bank Reference

Credit References

Headquartered in Tucson, AZ

International Sales Office Querétaro, México​

Contact Us!

International Sales Office Querétaro, México