PLASTIC SERVICES
& EQUIPMENT

Home  |  Products   |  Brands  |  Place An Order  |  Request A Quote  | Site Map  |  Search  |  Contact Us

 

Credit Application

To open an account, complete this application and fax it to 1-800-482-4059.

Company Name:__________________________________________________________________________________________

Mailing/Billing Address: ____________________________________________________________________________________

_______________________________________________________________________________________________________

Shipping Address:________________________________________________________________________________________

_______________________________________________________________________________________________________

Telephone: ___________________________________________    Fax:_____________________________________________

What category best describes your company: q Molder  q Extruder  q Mold Maker  q Distributor  q Other

Type of Business:  q Corporation  q Partnership  q Sole Proprietorship  q Personal

Please check all purchasing options that are accepted/used by your company:

q Purchase Order Numbers  q Verbal Purchase Orders  q Credit Cards  q Other

Federal ID No./SS No.: _________________________________  Dun & Bradstreet No.:__________________________________

Sales Tax No.:__________________________________

Date Business Established: ____________  Total Number of Employees:____________

President:________________________________________________________

Vice President:___________________________________________________

Buyer: _________________________________________________________

Controller:_______________________________________________________

Accounts Payable Contact: _________________________________________

Accounts Payable Fax:______________________________________

Name of Financial Institution:_________________________________________________________________________________

Address:________________________________________________________________________________________________

_______________________________________________________________________________________________________

Telephone: ___________________________________________    Fax:_____________________________________________

Name of Business Reference (DO NOT USE PLASTIC RESIN SUPPLIER):_________________________________________

Address:_______________________________________________________________________________________________

_______________________________________________________________________________________________________

Telephone: ___________________________________________    Fax:_____________________________________________

Name of Business Reference (DO NOT USE PLASTIC RESIN SUPPLIER):_________________________________________

Address:_______________________________________________________________________________________________

_______________________________________________________________________________________________________

Telephone: ___________________________________________    Fax:_____________________________________________

Name of Business Reference (DO NOT USE PLASTIC RESIN SUPPLIER):_________________________________________

Address:_______________________________________________________________________________________________

______________________________________________________________________________________________________

Telephone: ___________________________________________    Fax:____________________________________________

 

By signing this form, you are agreeing to comply with the terms and conditions as set forth by Plastic Services & Equipment. The information you have provided above will be used by us to assess your credit. Under open account terms, all purchases are subject to credit approval and are due and payable, in U.S. funds, within 30 days from the date of invoice. A finance charge of 2% per month (24% per annum) plus attorney fees and all costs associated with collection will be added to all past due accounts. We reserve the right to deny open account terms to any company.

 

Authorized Signature: ___________________________________________________      Date:__________________________

 

FOR OFFICE USE ONLY - PLEASE DO NOT WRITE IN THIS BOX

    Account Number:____________ D&B Checked:______ References Checked:______ Approved___________

 

Your Next Barrel or Screw Is On Our Shelf...
Call Today! 800-627-1033

Home | Request A Quote | Place An Order | Product Index 
Barrels & Screws | Electrical Products | Hose & Fittings | Molding Accessories 
About PS&E
| Terms & Conditions | Credit Application
Contact Us | Online Catalog


PLASTIC SERVICES & EQUIPMENT


Fax:  800-482-4059
| E-mail:  sales@servicesforplastics.com | Address:  7925 N. Clinton St., Fort Wayne, IN 46825-3113, USA
Contact Webmaster regarding content or link problems.
Copyright 1997 - 2016.Plastic Services & Equipment. All rights reserved.