The Burton Corporation and Its wholly-owned brands
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List locations in addition to primary retail and shipping locations.
Check all brands you sell in your stores:
Other major brands:
For the purpose of obtaining merchandise from The Burton Corporation and its wholly-owned brands (collectively, "Burton") on credit, Dealer provides the above information (including the attached balance sheet and profit and loss statement) and represents and warrants to Burton that the information is complete, true, and accurately reflects the present financial condition of Dealer. Burton has the right to rely on and verify the information you provide. Dealer understands a credit report may be obtained in order to process this Credit Application.
Owner or Authorized Officer's Signature *