Business Credit Line Application
  • If you are not currently an A4 customer, please complete the new customer application at https://www.a4.com/myaccount/registerdealer
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  • Business Principals

  • Bank References

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  • Trade Credit References

    Please provide three references from business partners that have extended you credit.
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  • In connection with this application, the undersigned herby certifies that the above statements, which are submitted for the purpose of obtaining credit, are true, correct and complete. Moshay Inc., DBA A4, is authorized to make inquiries and gather information the bank feels necessary and reasonable concerning statements made on this application. It is further agreed that Moshay Inc. will promptly be notified of any material changes in the above information.
  • Electronic Signature

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  • By Selecting the "I accept" button, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.