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Credit Application
We welcome your interest in doing business with our company! All information submitted will be held in strictest confidence and used solely for reference purposes within our credit department.
It will take about 10 days to response your inquiry.

MINIMUM FIRST ORDER: $1,500

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* Amount of credit requested $: (Minimum $1500)
DUNS/Tax ID #:

1. TELL US ABOUT YOUR COMPANY:	* indicates the required field.
* Is Your Organization Sales Tax Exempt?	Yes No
* Is a Purchase Order Required?	Yes No
* Full Legal Name/Business Entity:
* Doing Business As:
* Telephone Number: Fax Number:
* Street Address: * City: * State: * Zip:
Mailing Address: City: State: Zip: (if Different)
* Type of Business:
* Company Web Address:

2, ACCOUNT INFORMATION:	* indicates the required field.
* Name of Main Contact: * Email Address:
* Telephone Number: Fax Number:
* Authorized Purchasers:	1. 2. 3. 4. 5. 6.
Accounts Payable Contacts:	1. Phone: 2. Phone: 3. Phone:

I authorize Wine County Gift Baskets, 4225 N. Palm Street, Fullerton, CA 92835-1045 to receive full information as requested relating to our credit experiences. Wine Country Gift Baskets reserves the right to request any additional information as pertaining to your credit history.
I affirm that all information provided is correct.

By typing your name below, You agree that this is valid as your signature.
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Welcome to Wine Country Gift Baskets offering the best selection of value-priced, handcrafted gift baskets & gift towers, including corporate gift baskets, business gift baskets, Valentine's day gift baskets, gourmet food gift baskets, spa gift baskets, coffee gift baskets and tea gift baskets. Whether you need distinctive corporate gifts or something for friends and family, we have unique gift ideas to suit your taste and budget. All of Wine Country Gift Basket's gifts are backed by our Best Value and 100% Satisfaction Guarantee.

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