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Before submitting this application, please
download our credit terms acknowledgement letter**.
Please complete this online form and click submit. Or, print and fax the form to (352) 237-0239, Attn: Credit/Collections Department. You may also email the form to firstname.lastname@example.org.
**Please note: this form is required for the credit application process. When listing references, please include companies you purchase products or supplies from. (Fisher Scientific and VWR do not provide trade references.)**
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