Credit Application

To facilitate quick processing of your application, please complete all areas in detail.

** PLEASE NOTE: BLANKET CREDIT INFORMATION SHEETS ARE NOT ACCEPTED AS REPLACEMENT OF THIS FORM, ALL INFORMATION BELOW REQUIRED FOR PROCESSING. **

ALL INFORMATION GIVEN WILL BE HELD IN STRICT CONFIDENCE.

Until credit has been established, new customers will be on a C.O.D. basis. Upon establishment of credit, our terms are strictly net 30 days. Service charges will be applied on any balance outstanding 30 days after the invoice date, calculated at 18%.


MailFaxEmailOther
SIGNATURE:AFE:STAMP:PO: