I authorize the seller and its Assignee, Phalanx INC., and its subsidiaries or affiliates, to make whatever inquiries it deem necessary in connection with this credit application and in the course of its review or collection of any credit extended in reliance on this application. I further authorize any person or consumer reporting agency to complete and furnish to the seller and its assignee, Phalanx INC, and its subsidiaries or affiliates, any information that it may have to obtain in response to such inquiries, and agree that such information, along with the application, shall remain the Seller’s and its Assignee’s property, whether or not credit is extended. All information stated in this application is declared to be true representation of the facts and is made for the purpose of obtaining the credit requested. I acknowledge that my application for credit and any of the credit information you obtain will be submitted to Phalanx INC, and/or its affiliates or subsidiaries.
NOTE: THIS IS FOR DEMONSTRATION AND DEVELOPMENT PURPOSES ONLY, NO INFORMATION IS STORED OR COLLECTED AND ALL INFORMATION IS DELETED UPON SUBMISSION.