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<HEAD><TITLE>EMSCO, The Motor Control Shop and The Motor Control Shop,
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<meta name="keywords" content="EMSCO, motor control, control, starters, cooling tower, motor starters, westinghouse, westinghouse control, mod shop, modification shop, NEMA, Cutler Hammer, Diversified Electronics, Time Mark, phase monitor, phase protection, contactors, cooling tower, cooling tower controls, inteli-tower, enclosed control, timers, motor starters,transformers, panels, safety switch, westinghouse, control contacts, fuses, mod shop, ferraz, cover control, modification shop, electrical supply, motor control, grumpy, westinghouse control">
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      style="COLOR: rgb(0,0,0)">&nbsp;&nbsp;&nbsp;&nbsp; <a class="header" href="http://www.emsco.net/" dynamicanimation="fpAnimformatRolloverFP1" fprolloverstyle="color: #FF0000; font-weight: bold" onmouseover="rollIn(this)" onmouseout="rollOut(this)" language="Javascript1.2"><font size="1">HOME</font></a>&nbsp;&nbsp;&nbsp;&nbsp;
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            <h2 align="center"><BR>
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            <font color="#FFCC33">Credit</font></h2>
          <h2 align="center"><font color="#FFCC33">Application</font></h2>
          <h5 align="center"><font color="#FFCC33">Fill out this credit
          application and submit it for approval.&nbsp; Once an account is
          established, and the account is maintained in good standing, orders
          can be placed via PO number.&nbsp;</font>
          </h5>
          <p>&nbsp;
          </p>
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      <p>&nbsp;</p>
      <p>&nbsp;</p>
      <p>&nbsp;</p>
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          <TD width="130">&nbsp; 
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    <TD vAlign=top align=left width="1890" colspan="2">
      <DIV class=bigtext>
        <p align="center">EMSCO, The Motor Control
        Shop&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
        The Motor Control Shop, inc. </DIV>
      <HR align=left width="100%" color=#666666 noShade SIZE=1>

      <h2 align="center" style="text-align:center">Credit Application</h2>

      <h4 align="center" style="text-align:center">Please fill out and submit
      application to set up an account.<span style="color:navy"></o:p><span style="font-size:12.0pt;font-family:&quot;Century Gothic&quot;;
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</span></span></h4>
      <form action="http://cgibin.rcn.com/emsco1/cgi-bin/fp/bnbform.cgi" method="POST" &bt>
        <p class="MsoNormal" align="left">FIRM
        NAME&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<font color="#FF0000">*&nbsp;</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
        <input type="text" name="firm_name" size="85"></p>
        <p class="MsoNormal" align="left">STREET ADDRESS&nbsp;&nbsp;<font color="#FF0000">*</font>
        <input type="text" name="firm_st_add" size="85"></p>
        <p class="MsoNormal" align="left">MAILING ADDRESS <font color="#FF0000">*</font><input type="text" name="firm_mail_add" size="85"></p>
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        STATE&nbsp;&nbsp; <font color="#FF0000">*</font><input type="text" name="firm_st" size="20">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
        ZIP&nbsp;&nbsp;&nbsp;&nbsp; <font color="#FF0000">*</font><input type="text" name="firm_zip" size="10"></p>
        <p class="MsoNormal" align="left">TELEPHONE&nbsp; <font color="#FF0000">*</font><input type="text" name="T7" size="15">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
        FAX&nbsp;&nbsp;&nbsp; <font color="#FF0000">*</font><input type="text" name="T8" size="15">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
        E-MAIL&nbsp; <font color="#FF0000">*</font><input type="text" name="submit_by" size="33"></p>
        <hr>
        <p class="MsoNormal" align="left">Name of
        Principals&nbsp;&nbsp;&nbsp;<font color="#FF0000">*</font>&nbsp; <input type="text" name="princ1" size="54">&nbsp;&nbsp;&nbsp;&nbsp;
        Title&nbsp;<font color="#FF0000">*</font> <input type="text" name="princ1_tit" size="24"></p>
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        <input type="text" name="princ3" size="54">&nbsp;&nbsp;&nbsp;&nbsp;
        Title&nbsp; <input type="text" name="prince3_tit" size="24"></p>
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        Phone&nbsp; <font color="#FF0000">*</font><input type="text" name="r1_ph" size="25"></p>
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        <font color="#FF0000">*</font><input type="text" name="r1_st" size="3">
        Zip&nbsp; <font color="#FF0000">*</font><input type="text" name="r1_z" size="10"></p>
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        Contact Person&nbsp; <input type="text" name="r2_cp" size="43"></p>
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        Phone&nbsp; <input type="text" name="r3_ph" size="25"></p>
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        City <input type="text" name="r3_ci" size="23"> State&nbsp; <input type="text" name="r3_st" size="3">
        Zip&nbsp; <input type="text" name="r3_z" size="10"></p>
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        Contact Person&nbsp; <input type="text" name="r3_cp" size="43"></p>
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        Phone&nbsp; <input type="text" name="r4_ph" size="25"></p>
        <p class="MsoNormal" align="left">Address&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input type="text" name="r4_ad" size="43">
        City <input type="text" name="r4_ci" size="23"> State&nbsp; <input type="text" name="r4_st" size="3">
        Zip&nbsp; <input type="text" name="r4_z" size="10"></p>
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        Contact Person&nbsp; <input type="text" name="r4_cp" size="43"></p>
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        Phone&nbsp;&nbsp;&nbsp; <font color="#FF0000">*</font><input type="text" name="b_ph" size="15">Fax<font color="#FF0000">*</font><input type="text" name="b_fax" size="15"></p>
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        City<font color="#FF0000">*</font> <input type="text" name="b_ci" size="23"> 
        State&nbsp;<font color="#FF0000">*</font><input type="text" name="b_st" size="3">
        Zip&nbsp; <font color="#FF0000">*</font><input type="text" name="b_z" size="10"></p>
        <p class="MsoNormal" align="left">Bank Contact&nbsp;&nbsp;<font color="#FF0000">*</font><input type="text" name="b_off" size="42">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
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        <hr>
        <p class="MsoNormal" align="left">COMMENTS: <textarea rows="4" name="com" cols="93"></textarea></p>
        <hr>
        <h3 align="center">CREDIT TERMS: <u>NET 30 DAYS</u> - Special terms
        negotiated on custom orders.</h3>
        <p align="center">I/We hereby certify that the above information is
        correct.</p>
        <p align="center">Signature&nbsp; <input type="text" name="sig1" size="41">
        Title&nbsp; <input type="text" name="s1_tit" size="25"></p>
        <p align="center">Signature&nbsp; <input type="text" name="sig2" size="41">
        Title&nbsp; <input type="text" name="s2_tit" size="25"></p>
        <p class="MsoNormal" align="left">&nbsp;</p>
        <p class="MsoNormal" align="left">&nbsp;</p>
        <p class="MsoNormal" align="center"><input type="submit" value="Submit" name="B1"><input type="reset" value="Reset" name="B2"></p>
        <p class="MsoNormal" align="center">&nbsp;</p>
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        <input type="hidden" name="emailfile" value="creditform1">
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        <input type="hidden" name="data_order" value="submit_by, firm_name, firm_st_add, ">
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      <img border="0" src="misc%20starter%20line%203.gif" width="422" height="71" align="right">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
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          <TD vAlign=top width="45%" height="46">&nbsp;email:<a href="mailto:[email protected]">
            [email protected]</a><BR>&nbsp;� TMCS 2003&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </TD>
          <TD vAlign=top align=middle width="10%" height="46"></TD>
          <TD vAlign=top align=right width="45%" height="46">8529 Muscatello
            Court&nbsp;&nbsp; Gaithersburg, Maryland&nbsp; 20877<BR>Phone&nbsp;
            301-590-3005&nbsp;&nbsp;&nbsp;&nbsp; Fax&nbsp; 301-590-3006</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
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