QFD Line of Credit Apply for a Quality Fur Dressing Line of Credit About YouFederal law requires Quality Fur Dressing LLC to obtain, verify and record information that identifies you when you open an account. We will use your name, address, date of birth and other information for this purpose.Name* First Last Email* Legal Business Name* Principles of BusinessBusiness Start Date* MM slash DD slash YYYY Tax ID* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Job Title* Business Phone*Mobile Phone*Home Phone*Statement DeliveryDeliver Statements* I agree I do not agree Please agree to receive billing statement via electronic delivery. For our 'Electronic Statement', you will receive a monthly email notifying you of your loan balance, payment options, and an online link to a secure page for your online payment.VerificationYour personal information is safe. To help us protect you, please enter your date of birth and your social security number.Date of Birth* MM slash DD slash YYYY Social Security Number* Mother's Maiden Name* Important InformationPlease review the Line of Credit Terms and Consent to Electronic Communications. You may Print or Download these disclosures here.Applicant SignatureBy applying for this account, I am asking Quality Fur Dressing LLC to issue me a Line of Credit, and I agree that:Statements of Agreement I hereby certify that the information provided herein is complete and accurate. This information has been furnished with the understanding that is is confidential and solely to be used to determine the amount and conditions of the credit to be extended. By applying for the extension of credit and by executing this Business Credit Application and Agreement, Applicant also acknowledges and agrees to the terms and conditions stated in the Terms and Conditions. I am providing the information in this application to Quality Fur Dressing LLC for the purpose of applying for a line of credit that can be used for the services provided by Quality Fur Dressing LLC. Quality Fur Dressing LLC may obtain information from others about me (including requesting reports from consumer reporting agencies and other sources) to evaluate my application, and to review, maintain or collect my account. I consent to Quality Fur Dressing LLC and any other owner or servicer of my account contacting me about my account, including using any contact information or cell phone numbers I provide. I have read and agree to the credit terms and other disclosures in this application, and I understand that if my application is approved, the Quality Fur Dressing LLC line of credit agreement ("Agreement") will be emailed to me and will govern my account. Among other things, the Agreement: (1) includes a resolving a dispute with arbitration provision that limits my rights unless I reject the provision by following the provision's instructions; and (2) makes each applicant responsible for paying the entire amount of the credit extended. I agree that I have read and agree to the above provisions, the Credit Terms and the Consent to Electronic Communications confirming my acceptance to receive communications electronically set forth above. Selecting 'Accept & Submit' constitutes my electronic signature. 28640Δ