Greater American Falls Area Chamber of Commerce :: Greater American Falls Area Chamber of Commerce | Business Networking and Advocacy Vendor-application :

VENDOR APPLICATION PAGE

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Applicant's Information

Date of Birth

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Time at Address

Loan Details

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$

Employment Information

Employment Status *

in accordance with the General Terms and Conditions, you are required to read the following statement to the applicant before you can request from the applicant the amount, if any, of "Other income" and the "Source of Other income".

Alimony, Child support, or separate maintenance income need not be disclosed if you do not wish to have it considered as basis for repaying this obligation.

Other Monthly Income $

Source of Other Income

Credit Bureau

Score

Questions / Comments?

POLICY (you are required to read this)

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Please Check * I, the Applicant, certify that all of the statements in this application are true and complete and are made for the purpose of obtaining credit.

And please check * I have read and accept the above policy.

Applicant's Signature * x

Date: