Logo of Sandpaper Incorporated of Illinois

TEL: 630-629-3320

FAX: 630-629-3324

P.O. Box 2579, Glen Ellyn, IL 60138

CREDIT APPLICATION
 

BILL TO ADDRESS

 

 SHIP TO ADDRESS

COMPANY NAME _______________________
ADDRESS ______________________________
________________________________________
PHONE # _______________________________
FAX# __________________________________
  COMPANY NAME _____________________
ADDRESS ____________________________
______________________________________
PHONE # _____________________________
FAX# _________________________________

Bank Reference
BANK NAME ____________________________
ADDRESS________________________________
__________________________________________
  ACCOUNT # ____________________________
PHONE # _______________________________
CONTACT ______________________________

Please Provide Three References
NAME ________________________________
ADDRESS_____________________________
CONTACT_____________________________
 
  PHONE # ____________________________
FAX # _______________________________
CONTACT ___________________________

NAME ________________________________
ADDRESS _____________________________
CONTACT _____________________________
  PHONE # _____________________________
FAX # ________________________________
CONTACT ____________________________
 

NAME ________________________________
ADDRESS _____________________________
CONTACT ____________________________
  PHONE # _____________________________
FAX #  _______________________________
CONTACT ___________________________
 
Years in business _______ Type of business ___________________ (corporation, partnership or sole proprietorship)
Our terms are 1% 15 Days, Net 30. WILL YOU PAY WITHIN TERMS?_________
Will you play later than 30 days? ________________ If so, how many days? __________
Please MAIL or FAX completed form. If you have any questions please call us.
THANK YOU VERY MUCH. We will advise once this application is accepted.
SIGNATURE __________________________ PRINT NAME ________________________

For Illinois and Iowa Customers only:

Will product purchased be taxable or tax exempt? ______________
If tax exempt, provide your state resale or ID number ____________________  
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