Credit Application | Renato's Sewing Machine

Store Hours

Mon-Fri, 9am-6pm, EST
By Appt. Only

Sat, 9am-4pm, EST
By Appt. Only

Credit Application

If you are interested in applying for credit with Renato's Sewing Machine, please print the form below, complete it thoroughly, and mail or fax it to:

Renato's Sewing Machine
2321 Silas Deane Highway
Rocky Hill, Connecticut 06067

Fax: 860-721-0439

Business Name:		____________________________________________
Address:		____________________________________________
City, State, Zip Code:		____________________________________________
Telephone:		____________________________________________
Fax:		____________________________________________
Email:		____________________________________________
Tax ID #:		____________________________________________

Shipping Address:		____________________________________________
City, State, Zip Code:		____________________________________________

Billing Address:		____________________________________________
City, State, Zip Code:		____________________________________________

Business Formation Type:		__ Corporation __ Partnership __ Sole Proprietorship

Authorized Purchasers:		____________________________________________ ____________________________________________ ____________________________________________

Date Business Established:		____________________________________________

Type of Business:		__ Retail __ Wholesale __ Manufacturing __ Repair __ Contracting

Type of Product(s) Manufactured:		____________________________________________

Sales Tax Exempt?:		__ Yes __ No (If yes, please attach a copy of exemption certificate.)

Business Credit Card #:		____________________________________________
Expiration Date:		____________________________________________

Primary Bank Name:		____________________________________________
Address:		____________________________________________
City, State, Zip Code:		____________________________________________
Account #:		____________________________________________
Contact Name:		____________________________________________
Telephone:		____________________________________________

Secondary Bank Name:		____________________________________________
Address:		____________________________________________
City, State, Zip Code:		____________________________________________
Account #:		____________________________________________
Contact Name:		____________________________________________
Telephone:		____________________________________________

Business Owner's Name:		____________________________________________
Address:		____________________________________________
City, State, Zip Code:		____________________________________________
Home Phone:		____________________________________________
Fax:		____________________________________________
Major Credit Card #:		____________________________________________
Expiration Date:		____________________________________________

Trade Reference #1:		____________________________________________
Address:		____________________________________________
City, State, Zip Code:		____________________________________________
Account #:		____________________________________________
Contact Name:		____________________________________________
Telephone:		____________________________________________
Fax:		____________________________________________

Trade Reference #2:		____________________________________________
Address:		____________________________________________
City, State, Zip Code:		____________________________________________
Account #:		____________________________________________
Contact Name:		____________________________________________
Telephone:		____________________________________________
Fax:		____________________________________________

Authorized Signature:		____________________________________________
Title:		____________________________________________
Date:		____________________________________________