2903 W. Whitton Ave, Phoenix, AZ 85017
P.O. Box 27296, Phoenix, AZ 85061-7296
602 650-1557 / 800 443-6936

 

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I/We certify that all the information on this form is correct, and authorize Chemical Feeding Technologies, Inc. to investigate and verify the above information. I/We fully understand your credit terms and agree to the proper payment in consideration of extended credit.

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