Bank #1 : _________________________________ Account #: ___________________
Street Address : _____________________________ Telephone # : ________________
City, State, Zip: __________________________________________________________
Floor Plan Amount: __________________________ Fax #: _____________________
Account Officer:_____________________________
Bank # 2 : _________________________________ Account #: ___________________
Street Address : _____________________________ Telephone # : ________________
City, State, Zip: __________________________________________________________
Floor Plan Amount: __________________________ Fax #: _____________________
Account Officer:_____________________________
Name of Contact: ___________________________ Telephone # :_________________
Branch : __________________________________ Fax # : ______________________
Address :__________________________________ Date Opened: ________________
City: __________________________ State: __________ Zip : __________
Floor Plan Account #: __________________ Credit Limit :_______________________
References( other auctions you attend if any): Phone Number:
1.______________________________________________________________________
2. _____________________________________________________________________
3. _____________________________________________________________________
Expect to pay by : Cash ________ Company Checks :_________ Drafts: ___________