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General Information Business Name: Address: City: State/Province: Zip Code: Telephone #: Fax #: Federal Tax #: Year Business Started: Contact Information Purchasing Contact Name: Telephone Number: Ext. Accounts Payable Contact Name: Telephone Number: Ext. Name of Owners, Partners, or President Name Title Credit/ Trade References List Three Credit/ Trade References Name Account # Telephone # Fax # Bank Information Bank: Branch: Telephone # Address: City: State/ Province: Zip Your Name By submitting this form, you certify that the information herein is correct and that you understand our credit terms and agree to the proper payment in consideration for extended credit. Furthermore, should it become necessary to collect unpaid balance by legal process or through an attorney, the undersigned agrees to pay all attorney's fees and court costs incurred by SBI in the collection of said bills. Privacy Policy: Customer confidentiality is of the utmost importance to us. SBI has security measures in place to prevent the loss, misuse, and alteration of the information submitted by you. Our policy is to treat all files, documents, and data submitted by our customers with the utmost confidentiality. As with all electronic transactions, however, the security of your information can never by 100% guaranteed. SBI may share demographic information with its strategic partners and other advertisers. Aggregated demographic information is not linked to any information that could potentially identify you(i.e. the state or country in which you reside). Notwithstanding this privacy policy, SBI reserves the right to disclose any information or documents that, in its sole discretion, are reasonably necessary to protect SBI, including but not limited to complying with a court order, order from any administrative body or law enforcement officials. If you have any questions or concerns about this privacy policy, please Contact Us