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Pacific Supply Company
Online Credit Application

Use this application to establish credit with Pacific Supply.  All of our customers are established businesses.  Therefore, we do not charge sales tax.  However, you will be required to send us a valid Reseller's Certificate prior to your first shipment of product.

Applicant Name:

Position:

Applicant E-Mail:


Name of Business:

Street Address:

Mailing Address:

Select One:

Years Established:

Type of Business:

Telephone:

Fax:

Business Bank:

Bank Address:

Bank Telephone:

Bank Contact:

Two Current Trade References Required
Trade Reference 1 (TR1):

TR1 Telephone:

TR1 Fax:

TR1 Address:


Trade Reference 2 (TR2):

TR2 Telephone:

TR2 Fax:

TR2 Address:

 



Thank you for your application.
Credit usually takes 1-2 business days to set up. We will notify you via fax or e-mail when the process is complete.

Our terms are Net 20 days unless otherwise specified. If invoices are not paid within terms as indicated, the amount due will be subject to a delinquent charge of 1.5 percent per month on the balance due until paid. Our responsibility ceases upon acceptance of merchandise by carrier. Credit will not be allowed for merchandise returned without our permission.

 
Copyright 2006. Pacific Supply Co. • 7645 San Fernando Rd. • Burbank, CA 91505 • Ph: 800-348-3841 or 323-754-8665 • Fax: 323-754-4663