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DeFeo Materials Inc
860-300-2067
100 Bank Street, Suite 205. Seymour CT 06483
Email Application to [email protected]
CREDIT APPLICATION
COMPANY BACKGROUND
Name: ___________________________________________________________
Address_______________________________________ Corp.______ Trust__________
City/State/Zip____________________________________________________
Tel. #__________________________ Fax#______________________
Year Inc.__________ State___________ SS#/FIN_______________________________
Billing Instructions:
Billing Email___________________________________ Person of Contact_______________________
Billing Phone Number_________________________ Paper or Mailed Invoice? ___________________
PRINCIPALS
Name________________________________ Name_________________________________________
Home Address_________________________ Home Address__________________________________
City/State/Zip__________________________ City/State/Zip___________________________________
SS#______________________ SS#_________________________
BANK REFERENCES
Name_________________________ Address___________________________________
Tel.#________________________ Contact_________________ Acct.#_____________
Gossett's Landscape Nursery, Inc.
7801 Clinard Farms Rd.
High Point, NC 27265
336-442-0972
1980
NC
56-1298346
Amy Chatham
Email preferred
336-215-3228
Michael Gossett
7815 Clinard Farms rd.
High Point, NC 27265
243-61-0835
245-63-1990
John Gossett
7813 Clinard Farms rd.
High Point, NC 27265
Pinnacle Financial
High Point, NC
336-881-3360