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INSTRUCTIONS
If you are not comfortable providing any confidential information on this application, fill it out excluding that information and it can be completed via phone call.
Page 1:
Fill out as completely as possible.
Page 4:
Print the legal business name.
Sign, Print Title and date, and print title under Acknowledgments.
Sign, Print Title and date, and print title under "FOR ALL ENTITIES".
Sign and Date the "INDIVIDUAL GUARANTEE".
Page 5:
Fill out "Merchant Information" section.
Sign, Print, Title, and Date bottom of page.
Page 7:
Tape a voided check where indicated. No photos necessary.
Fax application to 303-642-7793 or E-Mail to john@xtract.us.
