Credit Application It usually takes about 2-3 days to process the application, depending on responses from references. We reserve the right to deny credit based on any information gathered. Company Information Company Name Phone Number Fax Number Street Address City State Zip Code Billing Address City State Zip Code Purchasing Contact Email Address Phone Number Fax Number Accounts Payable Contact Email Address Phone Number Fax Number Tax Status Taxable Tax Exempt- TA ID number Exemption Type Industrial Processing Resale Year Business Established Business Type Corporation Partnership Sole Proprietorship Owner President Bank Information Bank Name Address City State Zip Code Phone Number Fax Number Account Number Contact Person Trade References Reference One Name Phone Number Fax Number Street Address City State Zip Code Reference Two Name Phone Number Fax Number Street Address City State Zip Code Reference Three Name Phone Number Fax Number Street Address City State Zip Code
