Credit App

Williams Office Products, Inc Credit Application in Alton, Il

Please fill out the form below and someone will contact you as soon as possible.

Contact Us

Company

First Name

Phone:

Email:

Billing Address

Billing_State

Billing_City

Billing_ZipCode

Shipping Address

Shipping_State

Shipping_City

Shipping_ZipCode

Application is being completed by

Title

Names of Principles of Firm

Corporation

Partnership

Single Owner

President

Vice President

Controller

Division of

Parent Company

Address

Firm_State

Firm_City

Firm_ZipCode

Type Of Business

Number of Employees

Credit Line Desired Per Month $

How long in business Note: if credit line requested is over $1,000.00, a financial state is required

Do You Use Purchase Orders?

Yes

Purchasing Agents

State Resale Number

Bank References Checking

Bank_Ref_Account Number

Bank_Ref_Phone

Bank_Ref_Address

Bank_Ref_Street

Bank_Ref_City

Bank_Ref_State

Bank_Ref_ZipCode

Trade References

Trade_Ref_Acct.No

Trade_Ref_Phone

Trade_Ref_Address

Trade_Ref_Street

Trade_Ref_City

Trade_Ref_State

Trade_Ref_ZipCode

Trade_Ref2_Name

Trade_Ref2_Acct.No

Trade_Ref2_Phone

Trade_Ref2_Address

Trade_Ref2_Street

Trade_Ref2_City

Trade_Ref2_State

Trade_Ref2_ZipCode

Trade_Ref3_Name

Trade_Ref3_Acct.No

Trade_Ref3_Phone

Trade_Ref3_Address

Trade_Ref3_Street

Trade_Ref3_City

Trade_Ref3_State

Trade_Ref3_ZipCode lf the account is authorized on an open account basis, it is understood that our terms are net 20 days from the date of the invoice. Williams Office Products, Inc. reserves the right to refuse to ship to any past due account.

Interest at the rate of 1.5% per month will be charged on all past due invoices. The purchaser also agrees to pay reasonable attorney fees and other costs incurred for collection.

*Your submission of this form on line to Williams Office Products Inc. represents your signature on this application *Your submission of this form on line to Williams Office Products Inc. represents your signature on this application

Signature