Packaging and Janitorial Supplies: Tarheel Paper Company is a leading distributor in the Packaging and Janitorial fields.

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CREDIT APPLICATION

Printable Application

COMPANY INFORMATION

Company Name:
How Long in Business:
Name of Principal(s):
Phone Number:

BILLING ADDRESS

Address:

City:
State:
Zip Code:
Phone Number:
Fax Number:

SHIPPING ADDRESS

Address:

City:
State:
Zip Code:

Credit Limit Requested:

TRADE REFERENCES

Supplier Name:
Address:		Phone Number:
City:		Fax Number:
State:
Zip:

Supplier Name:
Address:		Phone Number:
City:		Fax Number:
State:
Zip:

Supplier Name:
Address:		Phone Number:
City:		Fax Number:
State:
Zip:

BANK REFERENCE

Bank Name:
Address:		Phone Number:
City:		Fax Number:
State:
Zip:

We certify that all the information on this form is correct. We fully understand your credit terms as being Net 30 days and agree to the proper payment in consideration of extended credit.

Date:

Name:

Title:

*Please fax a copy of any tax exempt certificates. We must have a certificate on file to deduct taxes for your company.