Commercial Application Kirk Brown & Sons Expert Auto Repair Charlotte, NC (704) 366-5321

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Contact Information Company's Legal Name DBA (if different) Mailing Address City State/Province Zip/Postal Code Physical Address City State/Province Zip/Postal Code Phone Fax

Trade References

Please list below names of firms from whom you buy on credit.

Reference 1 Firm Name Account # City State/Province Zip/Postal Code Phone Fax Contact Email

Reference 2 Firm Name Account # City State/Province Zip/Postal Code Phone Fax Contact Email

Reference 3 Firm Name Account # City State/Province Zip/Postal Code Phone Fax Contact Email

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