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Get Application For Credit & Membership 1-2008 V2 - Skagit Farmers ...

STATUS DATE APPROVED APPLICATION FOR CREDIT & MEMBERSHIP WITH SUBSTITUTE FORM W-9 INFORMATION (Skagit Farmers Supply Use Only) (Skagit Farmer Supply Use Only) YES R IS THIS FOR A PROPANE ACCOUNT? NO APPLICANT/ JOINT APPLICANT If not living together submit separate application PRIMARY APPLICANT/OWNER/GUARANTOR - First Middle Initial & Last Name Birth Date Social Security Number JOINT APPLICANT/CO-OWNER/GUARANTOR - First Middle Initial & Last Name Birth Date.

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