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Credit Application

Please fill out the form below to submit a credit application.

Fields marked with an asterisk (*) are required.

(If no, tax exemption certificate must be furnished with application)

Please provide a minimum of three (3).

Applicant’s signature attests: (1) That he/she has full power and authority to execute this application on behalf of the entity applying for the credit; (2) that the execution has been duly and validly authorized by all necessary corporate or other action required by the applicant entity; (3) that the applicant has read and shall comply with the terms and conditions set forth.

The below information, as well as that given above are for the purpose of obtaining credit and are warranted to be true and correct. I/We herby authorize Penn Power Group LLC to investigate the references listed pertaining to my/our credit and financial responsibility.

Please Check to Proceed