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(Denotes required field.)

Note: A copy of your resale certificate must be forwarded to the Credit Department in order to avoid the imposition of sales tax.

Corporation Partnership Sole Owner
Yes No

For Corporations:

For other business types:

Yes No

Business References: (Please supply at least 3)

We, the company, agree to maintain our account to the payment terms established by MARS. We further understand and agree that should our account become delinquent, we will be liable for interest on the unpaid balance as well as any collection fees incurred obtaining payment.

By "clicking the submit button below" I hereby attest that all information on this form is accurate and authorize the release of any pertinent credit information , requested by Motors and Armatures, relative to my account.

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