Credit Application and Company Information for SanSoleil

Credit Application and Company Information

Phone: 800-654-6773 Email: Cameron@Line-up.com Fax: 949-515-4608
Company Name*
Shop Name if Different than Company*
Company Shipping Address*

Street Address

Street Address Line 2

CityState

Zip Code
Company Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Merchandiser/Buyer Information:

Buyer Name* Email*      Phone Number*

Accounts Payable Information:

AP Name*   Email*    Phone Number*

Head Pro Information:

Head Pro Name   Email   Phone Number
Should be Empty: