CREDIT ACCOUNT APPLICATION
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Account Interest is:
SeamFil ONLY
ColorFlex ONLY
All Products
OTHER
COMPANY NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
PHONE:
FAX:
EMAIL:
TYPE OF LAMINATE DISTRIBUTED:
DO YOU BUY YOUR LAMINATE DIRECT FROM A MAJOR LAMINATE MANUFACTURER?
Yes
No
IF YES, WHICH LOCATION?
PHONE:
BUSINESS TYPE:
CORPORATION
PARTNERSHIP
SOLE PROPRIETORSHIP
DATE OF INCORPORATION:
D & B #:
PRESIDENT:
PHONE EXT.:
SECRETARY/TREASURER:
PHONE EXT.:
ACCTS. PAYABLE MGR.:
PHONE EXT.:
BANK REFERENCE:
ADDRESS:
CITY:
STATE:
ZIP CODE:
COMMERCIAL ACCOUNT CONTACT:
PHONE:
FAX:
TRADE REFERENCE #1:
ADDRESS:
CITY:
STATE:
ZIP CODE:
TRADE REFERENCE #2:
ADDRESS:
CITY:
STATE:
ZIP CODE:
TRADE REFERENCE #3:
ADDRESS:
CITY:
STATE:
ZIP CODE:
THE ABOVE INFORMATION IS FURNISHED FOR THE PURPOSE OF OPENING AN ACCOUNT AND IS TO BE KEPT IN THE STRICTEST CONFIDENCE.
SIGNED:
TITLE:
DATE:
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