BASIC COMPANY INFORMATION & CREDIT PACKAGE

--------------------STAMP AND SEND FOR FAX +39 02 70046734 or email segreteria@itaworld.com ---------------------------
_________________________________________________________________________________________
Company Name
ITEMS REQUIRED:
(√) Basic Information Report
(√) Credit Application
(√) References
(√) Complete copies of last two year’s fiscal year end financial statements
(i.e. Balance Sheets and Profit/Loss Statements).
(√) Annual Report (if available) and Company Capabilities Presentation
(√) Copy of Business Registration Certificate
Note: Incompletion of this Express of Interest will not be considered by Global Brands Group.
Completed by: ____________________________ Title: ____________________ Date: ____________
(Please Print)
Alternatively, you can send the Expression of Interest together with the required documents directly to:
CEO OFFICE / EXPRESSION OF INTEREST
ITA WORLD - BEVERLY VACANZE
80 Viale Aventino
ROMA 00153

FOR INTERNAL USE:
Date Received: __________________
Entered by: ______________________________________ Date: __________________________
Reviewed by: ____________________________________ Date: __________________________
Customer No.: _________________________________________________________________________
Account Exec: ____________________________________ Date: _____________________

-------------- BASIC COMPANY INFORMATION & CREDIT APPLICATION ------------------------


Company Legal Name:
Address: Telephone # (include area code)
Address Fax # (include area code)
Address No of stores/warehouses Sales Area
Address Contact
Country & Zip Code Type of Business
Type of Ownership (Corporation, Proprietorship, etc.)

PRINCIPALS
Name: ID#
Title: Phone:
Home Address
Name: ID#
Title: Phone:
Home Address
I hereby authorize BV to verify all information given above, and that such information, to the best of my knowledge, is true and correct.
Signed: __________________________________________________ Date: ___________________________
(Full Name of Company)
By: ______________________________________________________ Title: _____________________________
(Signature) (Please Print)
By: ______________________________________________________ Title: __________________
(Authorized Member of Firm- Please Print) (Please Print)

Internal Use:
______________________________ ______________________________ € ____________________________
Credit Line Approved Date Approved Amount Approved

REFERENCES:
TRADE:
Company Name:
Address:
Telephone Fax No.:
Contact Name: Position:
Company Name:
Address:
Telephone Fax No.:
Contact Name: Position:

REFERENCES (Continued):
BANKING:
Address:
Telephone Fax No.:
Contact Name: Position:
Telephone Fax No.:
Account Number:
Type of Account:

----------------------------- STAMP AND SEND FOR FAX +39 02 70046734 or email segreteria@itaworld.com ---------------------------