TUXEDOSONLINE CREDIT APPLICATION Date: 5/17/2012
The credit application can be filled out and submitted online using the form below. You may also download the application in PDF format and then either mail or fax the completed form to:

Fax Number: (818) 980-5084

Mailing Address:
Tuxedos Online
12051 Magnolia Blvd
North Hollywood, CA 91607

items marked with * are required,

1. COMPANY INFORMATION
Full Legal Name/Business Entity* Phone* Fax
Doing Business AS (DBA)*
Billing Address* City* State* Zip*
Company Type*
2. BUSINESS CREDIT INFORMATION
Federal Tax ID* Principle business of firm* Year Established*
At present location since* Incorporated?* Under what laws/states?*
Yes No
Credit Line Requested*
3. BANK REFERENCES
Bank Name* Account #* Contact* Phone*
Address* City* State* Zip*
Bank Name Account # Contact Phone
Address City State Zip
Bank Name Account # Contact Phone
Address City State Zip
4. CREDIT REFERENCES
Company Name* Contact* Phone*
Address* City* State* Zip*
Company Name Contact Phone
Address City State Zip
Company Name Contact Phone
Address City State Zip
5. PROPRIETOR AUTHORIZATION
First Name* Middle Initial Last Name* Social Security Number*
Present Home Address* Home Phone*
City* State* Zip*
If more than one Proprietor, fill in for additional Proprietor
First Name Middle Initial Last Name Social Security Number
Present Home Address Home Phone
City State Zip
6. PROPRIETOR GUARANTY
First Name* Middle Initial Last Name* Social Security Number*
Present Home Address* Home Phone*
City* State* Zip*
If more than one Proprietor, fill in for additional Proprietor
First Name Middle Initial Last Name Social Security Number
Present Home Address Home Phone
City State Zip
By submitting this electronic application, I authorize TUXEDOSONLINE or it's agent to investigate my personal credit and financial records including my banking records. As part of such investigation, I authorize TUXEDOSONLINE to request and obtain consumer credit reports on me in connection with the opening, monitoring, renewal and extension if this and other accounts with TUXEDOSONLINE and the marketing of other products and services to me and my business by TUXEDOSONLINE. I further authorize TUXEDOSONLINE to share the information received from my consumer credit report with TUXEDOSONLINE's parent, subsidiaries, and affiliates. If I request, you will tell me whether my consumer credit report was requested and, if so, the name and address of the consumer credit reporting agency that furnished the report.

By submitting this electronic application, I acknowledge that I have personally guaranteed the debts and obligations of my business and agree that I am personally obligated to perform all of the terms of, and make all payments to TUXEDOSONLINE required by, the agreement of which this Application is part.

I AGREE*