Item®

item Forms: Credit Application

Welcome to the item credit application page.

Company Name:
Address:
City:
State:
Zip Code:
Telephone:
Fax Number:
Contact Name:

Billing Address:
City:
State:
Zip Code:

Owner/President:
Federal ID No:
Dun & Bradstreet No:
Taxable:
Non-Taxable:
If Taxable, MUST send tax-exempt certificate

Bank Name:
Address:
City:
State:
Zip Code:

PLEASE LIST AT LEAST 3 CREDIT REFERENCES

Company Name:
Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:

Company Name:
Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:

Company Name:
Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:

Company Name:
Address:
City:
State:
Zip Code:
Phone Number:
Fax Number: