Download credit application - S. Walter Packaging

CREDIT APPLICATION
Thank you for your interest in S. Walter Packaging Corp. In order to extend credit to you, we would like to make sure
that we have all the necessary information. Please complete this form. All fields must be filled out completely in order to
process your application correctly and quickly.
Customer Account #__________________
Salesperson____________________
Company Name:
Owner/Officers:
Billing Street Address:
Shipping Address:
E-Mail Billing Preferred:
Yes
No
E-Mail Billing Address:
Billing Telephone #:
Billing Contact Name:
Years in business:
Years at this location:
Partial Shipments Accepted:
Yes
No
Backorders Accepted: Yes
D-U-N-S #: _ _ - _ _ _ - _ _ _ _
REFERENCES
Supplier:
Supplier:
Address:
Phone #:
Fax #:
Supplier:
Address:
Phone #:
Fax #:
Supplier:
Address:
Phone #:
Fax #:
Supplier:
Address:
Phone #:
Fax #:
Bank:
Address:
Phone #:
Fax #:
Address:
Phone #:
Fax #:
No
NEW CUSTOMERS
Pending receipt of this information we suggest advance payment on the first order to expedite prompt shipment.
Upon receipt we shall immediately process your order for production or shipment.
CURRENT FINANCIAL INFORMATION
Financial statements will be of great assistance to us in establishing a credit limit for you. Please email or fax
any pertinent financial statements to S. Walter Packaging Corp. with the completed and signed application.
TAX EXEMPT
If applicable, please supply us with a copy of your Sales and Use Tax Certificate of Exemption form.
DISCLAIMER
We certify that all of the information on this form is correct. We fully understand that S. Walter Packaging Corp.
terms are Net 30 days FOB. We agree to pay accordingly if credit is extended.
________________________________
Signature
________________________________ ___________________________
Name
Title
___________
Date
Email to: [email protected] or Fax to: 215-698-7119