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5860 Paramount Blvd., Long Beach, CA 90805
Tel: 562-602-3797 Fax: 562-602-3726
Confidential Credit Application (New / Update Account)
We welcome your interest in doing business with TA Chen Int'l. The extent to which this application is completed will assist us in determining the extend of a line of credit to your organization. All information submitted will be held in strict confidence and used solely for reference purpose within our company.
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Bill To Address:
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Ship To Address:
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Business Information
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*(Must provide photo copy of federal tax id)

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*(Must provide photo copy of resales id)

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Owner/Officer:
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Paperless Billing Primary Contact:
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Back-up Contact:
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Trade Reference:

*(At least three from whom purchases are made on a direct credit basis)

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Bank References (must sign and fax the authorization section below)
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Your Information:
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I HAVE READ, UNDERSTAND AND ACCEPT THE ABOVE TERMS AND HAVE PROVIDED TRUE INFORMATION TO THE BEST OF MY KNOWLEDGE. I FURTHER AUTHORIZE TA CHEN INT'L TO VERIFY ANY AND/ OR ALL REFERENCES GIVEN THAT MAY BE REQUIRED TO DETERMINE OUR CREDIT CAPABILITIES AND TO REQUEST RELEVANT INFORMATION FROM CREDIT REPORT AGENCIES. THIS AGREEMENT WAS MADE IN LONG BEACH, CA AND ANY DISPUTE OR LITIGATION RESULTING FROM THESE TRANSACTIONS WILL BE FILED IN THIS JURISDICTION. SHOULD IT BE NECESSARY TO REFER THE ACCOUNT BALANCE TO A LICENSED COLLECTION AGENCY OR ATTORNEY FOR LEGAL ACTION, APPLICANT AGREES TO PAY A 25% COLLECTION FEE, REASONABLE ATTORNEY FEES AND COURT COSTS.

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TA CHEN INT'L INC credit application Confirmation

Thank you for choosing TCI's online application option for submitting your credit application.
This confirms that we've received your credit application  and will momentarily forward it to our branch for review. Please print and sign where applicable and fax it to our credit department at 562-602-3726 along with a copy of re-sales certificate (if applicable) to complete submitting your application for review.

Download PDF:  [PDF]
Submitted on: 
Confirmation Number: 

If you have any questions please contact our regional or branch manager at following branch
(please reference to your confirmation number:  )

Branch: 
Name: 
Phone: 

Thank you.