Marway Credit Application

Please fill out and submit the necessary information below.

Company Information
Company Name:
Date Established:	/ /  (mm/dd/yyyy)
Website Address: (if any)
Phone No.:		Fax No:
Billing Address 1:
Billing Address 2:
City:		State/ Province:
Zip/Postal Code:		Country:
Shipping Address 1:
Shipping Address 2:
City:		State/ Province:
Zip/Postal Code:		Country:
Dun & Bradstreet No.:
Federal ID No.:
Annual Sales:	$
No. of Employees:
Form of Ownership:	Corporation Limited Partnership Limited Liability Corporation Individual General Partnership Subsidiary of:
E-mail Address of Person Submitting This Form:

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Company Officer/Contact Information
President:
Name:
Phone No.:		Fax No.:
E-mail:
Controller:
Name:
Phone No.:		Fax No.:
E-mail:
Purchasing:
Name:
Phone No.:		Fax No.:
E-mail:
Accounting Manager:
Name:
Phone No.:		Fax No.:
E-mail:
AP Contact:
Name:
Phone No.:		Fax No.:
E-mail:

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Bank References
Bank #1:
Name:
Contact:
Address 1:
Address 2:
City:		State/ Province:
Zip/Postal Code:		Country:
Phone No.:
Account Number:
Account Type:	Checking Savings Other
Bank #2:
Name:
Contact:
Address 1:
Address 2:
City:		State/ Province:
Zip/Postal Code:		Country:
Phone No.:
Account Number:
Account Type:	Checking Savings Other

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Trade References
(Active and Computer related vendors please)
Trade Reference #1:
Company Name:
Contact:
Address 1:
Address 2:
City:		State/ Province:
Zip/Postal Code:		Country:
Phone No.:		Fax No.:
Account Number:
Trade Reference #2:
Company Name:
Contact:
Address 1:
Address 2:
City:		State/ Province:
Zip/Postal Code:		Country:
Phone No.:		Fax No.:
Account Number:
Trade Reference #3:
Company Name:
Contact:
Address 1:
Address 2:
City:		State/ Province:
Zip/Postal Code:		Country:
Phone No.:		Fax No.:
Account Number:

If you have any questions about purchasing factory direct, contact customer service at 800-462-7929 or via e-mail at marway@marway.com.

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Marway Power Solutions
17500 Gillette Ave. • Irvine, CA 92614 • 800-462-7929