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Customer Care
Business Hours - 8:00 AM-5:00 PM EST
Technical Support
Medical Inquiries
Business Hours - 8:00 AM-8:00 PM EST
By clicking submit below, I hereby represent that I am authorized to submit this application and bind the business identified in this application, and that the information provided is for the purpose of obtaining credit and is warranted to be true.
The business identified in this application acknowledges that this request is for the extension of credit for commercial purposes only and is not intended for the extension of credit for personal, family or household purposes.
In order to protect individual identities, unless an individual is intending to act as a guarantor for purposes of securing credit and is required to provide guarantor information on this application, no personally identifying information (i.e. Social Security #, driver’s license #, bank account information, etc.) should be provided.
The business identified in this application hereby authorizes all banks, financial institutions, trade reference sources, credit reporting agencies and others to release credit information.
In the event of a conflict, the terms and conditions set forth above shall control over any terms and conditions set forth below.
