CREDIT APPLICATION



DIRECT BILL APPLICATION

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Hilton Garden Inn – Homewood Suites

Atlanta Midtown

This application must be completed in full and returned via fax to the attention of Accounting within 10 days of signing for credit approval to be considered. 404-524-4077 fax 404-524-4006 phone

|Name of Company or Organization | | | | | |

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|Name of Function | | | | | |

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|Bill To: Name | | | | | |

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|Address: | | | | | |

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|City | |State | |Zip Code | |

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|Telephone Number | | |Fax Number | | |

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|Function Date | | |Credit Amt. Requested |$ | |

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|Please check what you would like direct billed:θ Room θ Tax θ Incidentals | | | | | |

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|REFERENCES: (Hotels which have billed you within the last 45 days to 3 years) | | | | | |

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|Name | |Date | |Phone: _________________ | |

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|City | |State | |Fax | |

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|Name | |Date | |Phone: _________________ | |

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|City | |State | |Fax | |

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|Name | |Date | |Phone: _________________ | |

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|City | |State | |Fax | |

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|Bank Information: |Name | | | | |

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|City | |State | |Phone | |

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| | |Account # | |Contact | |

Dunn & Bradstreet Number: ______________________________

AGREEMENT: I agree to pay all purchases on this account in full within 30 days. A late charge may be added should the payment not be received within the 30 day window. I also agree to pay reasonable outside attorney’s fee in the event the account is referred to an attorney. I have read & understand the above terms.

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|Authorized (Print) | |Authorized (Signed) | | | |

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