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Get La Credit Application For Charge Account

70501 FAX : (337) 291-6392 CLERK OF COURT WEB SITE http://www.lpclerk.com/ CREDIT APPLICATION FOR CHARGE ACCOUNT Company Name: (Legal name of company or individual) Type of Business: Years in business: Mailing Address: City State Zip Physical Address: (if different from above address) City State Phone: Fax Zip Accounting Contact: E-mail: Phone: The account that you are applying for is a 30 day open charge account. R.S. 13.

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