Credit Application

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Contact Name*
Billing Address*
Shipping Address*
Max. file size: 8 MB.
(please list name, phone number and address of your financial Institution)
(please list name, address, phone number, and account number of three references. Do not list credit card accounts.)
Our terms are 1% 10 Net 30 days. Accounts not paid in this time frame will be placed on credit hold and all future orders will be on a COD basis until the account is current. A/P inquiries should be directed to [email protected].

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