Business Credit Application

HACIENDA FORD OF KINGSVILLE
2501 S US Hwy 77
Kingsville TX 78363
361-592-2661

In addition to filling out the form, please fill out this additional document by clicking the button below, and email it to cpawelek@onehacienda.com.

Business Name(Required)

DBA(Required)

Tax ID#(Required)

Select Business Type(Required)

Mailing Address(Required)

City(Required)

State(Required)

ZIP Code(Required)

Type of Business(Required)

In Business Since(Required)

Reference One Name

Reference One Address

Reference One Phone Number

Reference Two Name

Reference Two Address

Reference Two Phone Number

Reference Three Name

Reference Three Address

Reference Three Phone Number

If Division/Subsidiary, Name of Parent Company(Required)

Name of Principal Responsible for Business Transaction(Required)

Title(Required)

Address(Required)

City(Required)

State(Required)

ZIP Code(Required)

Accounts Payable Clerk Name(Required)

Email Address(Required)

Statements(Required)

Purchase Orders Required(Required)

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Hacienda Ford of Kingsville