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Credit Application

607 Durham Drive, Houston, TX 77007
Phone: (713) 863-1133, Fax: (713) 863-0044

	Date
Legal Company Name
Billing Address
Physical Address (if different)
Telephone
Fax
Type of Business
Website URL
Email Address

Number of Years in Business
Proprietorship Partnership Corporation Date Incorporated
State of	Federal Tax ID

Owner(s), Partner(s) or Corporate Officers
	Title
	Title
	Title

Registered Agent
Address
Accounts Payable Manager
Authorized Purchasers
Special Billing Instructions

Purchase Order Required? Yes No	Amount of Credit Desired

Bank References

Bank Name
Address
Bank Officer
Telephone
Primary/Operating Account #
Customer Service

Trade References

Name		Office Use Only Bank High Days
Telephone
Address
Fax

Name
Telephone
Address
Fax

Name
Telephone
Address
Fax

Name
Telephone
Address
Fax

I hereby certify that all information included in this application is complete and true to the best of my knowledge and I authorize all references, or agents thereof, to release all pertinent information as requested by Illuminations Lighting Design. I also understand that, according to Illuminations Lighting Design's terms, payment on all invoices is due upon receipt and that the initial order may require a deposit or prepayment and that applicable liens may be applied.

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Title
Your initials Here
Date
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Lighting Design & Consultation

Landscape Lighting Design & Installation

Electrical Contracting

Fine Art & Cabinet Lighting

Home Automation

Employment

We are an exceptional organization looking to add impeccable personnel that will both develop within our team and later work to develop our team.

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Testimonials

We are very happy with the new low voltage landscape lighting system that ILD installed in our front yard. I never imagined that lighting could make such a huge difference. We now have the best looking exterior lighting in the neighborhood. The motion lights you suggested on the side of the house are very effective. Overall, we are pleased with the lighting and electrical work and will certainly refer your company to our friends!

Lam Hoang
Tomball, Texas

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