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Assumed Name, Certificate of | City of New York
This certificate is also called the doing business as (DBA) certificate. Businesses must file the certificate with the New York State Department of State (
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CUSTOMER CREDIT APPLICATION AND AGREEMENT
Once completed and signed, please fax the application to (847) 837-2765. Medline Sales Representative Name. I. OWNERSHIP INFORMATION: Identify Parent Company,
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BUSINESS/INDIVIDUAL INFORMATION (
Enter the full legal name of the business as shown on the business license. (If the business is operating under a DBA, enter the DBA name also.) SECTION 1
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