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1-800-523-2367

Extension "3"

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CREDIT APPLICATION

Note: In order to cover additional handling and credit risk we must add 10% to prices if using Net 30 day terms.

 

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Bill To Address
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Ship To Address (if different)
   
Contact Phone Numbers & Email Addresses
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Business Information

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Bank
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(Indiana, Illinois & Massachusetts exempt customers will be asked to sign a tax exemption certificate.)
   
Credit References
Please do not use banks, credit card companies or secured loans as references.
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A value is required. A value is required.
A value is required.Invalid format. A value is required.
   
A value is required. A value is required.
A value is required.Invalid format. A value is required.
   
 

Terms of payment are net 30 days.  Past due invoices are subject to a 1-1/2%  monthly service charge.  Credit privileges are revoked if consistently past due. Costs of collecting money due and owing on this account, including court costs and attorney fees, will be charged to the debtor. In making this application, the customer agrees to these terms. 

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(press extension "3")

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