3731-M Woodpark Blvd. / Charlotte, NC 28206 / (704) 394-2361 / (704) 399-1758 fax
Fax completed credit application to 215-426-5747
ACCOUNT APPLICATION
Date:
Company’s Legal Name: Year Established:
Address:
Phone: Fax: Email:
Principal’s Name/Title:
Financial Contact’s Name/Title:
Primary Bank: Account #:
Address:
Phone #: Fax:
Supplier: Phone:
Address: Fax:
Supplier: Phone:
Address: Fax:
Supplier: Phone:
Address: Fax:
If this company is a branch or subsidiary, please provide the name and address of the parent company.
If financial statements are available or if this company is tax-exempt, please provide appropriate copies. All disclosed information will be kept strictly confidential for use only in Case Paper’s credit department. By signing this form, the company allows Case Paper Co. to collect credit information from the supplied references. By signing this form, the company agrees to Case Paper Co.’s invoice-indicated payment terms and is liable for all outstanding debts and applicable collection costs.
Signed:
Name: Title:
3731-M Woodpark Blvd. / Charlotte, NC 28206 / (704) 394-2361 / (704) 399-1758 fax
Fax completed credit application to 215-426-5747
BANK AUTHORIZATION
Date:
To: (bank name)
From:
Company
Address
Phone
To Whom It May Concern:
I authorize you to promptly release financial information to Case Paper Co.
If you have any questions, please contact me at the above phone number.
Thank you,
Signature
Printed Name
Title
3731-M Woodpark Blvd. / Charlotte, NC 28206 / (704) 394-2361 / (704) 399-1758 fax
Fax completed credit application to 215-426-5747
SALES TAX EXEMPTION CERTIFICATE, MULTI-JURISDICTION
PROVIDE EITHER A PHOTOCOPY OF YOUR TAX CERTIFICATE OR THIS FORM.
Issued to: Case Paper Co.
Address: ______
______
I certify that (company name/address):
is engaged as a registered [check one] ¨ wholesaler ¨ retailer ¨ manufacturer ¨ other (specify) ______with the below listed states and cities within which Case Paper would deliver purchases to us; and that any such purchases are for wholesale, resale, ingredients, or components of a new product to be resold, leased, or rented in the normal course of business. We are in the business of wholesaling, retailing, manufacturing, or leasing paper or paperboard, used for: .
City or State: State registration or I.D. #:
Additional registrations, if any:
City or State: State registration or I.D. #:
City or State: State registration or I.D. #:
I further certify that if any property so purchased tax-free is used or consumed by the firm as to make it subject to a sales or use tax, we will pay the tax due directly to the proper taxing authority, when state law so provides, or inform the seller for added tax billing. This certificate shall be part of each order that we may hereafter give to you, unless otherwise specified, and shall be valid until cancelled by us in writing or revoked by the city or state.
Description of products to be purchased: paper or paperboard
Under penalties of perjury, I swear and affirm that the information on this form is true and correct in every material matter.
Signature Title Date
3731-M Woodpark Blvd. / Charlotte, NC 28206 / (704) 394-2361 / (704) 399-1758 fax
Fax completed credit application to 215-426-5747
SHIP-TO SPECIFICATION MAINTENANCE
Company:
Name/Title:
Receiving Address:
Phone: Fax:
Email: Website:
Receiving department phone/email:
I can receive shipments from ______a.m. / p.m. to ______a.m. / p.m. (circle either am or pm)
Appointment required? Yes No Do you have a dock? Yes No
Special packing or shipping remarks:
Roll Shipments
Diameter: ______max ______min Max weight/roll: ______lbs
Core: Roll pack:
Skid Shipments
Max skid length: ______Max skid width: ______Max skid height: ______
Runners: ______(Long or short dimension) Tiers per skid: single double N/A
Truck, Trailer, Loading
Trailer type: Lift gate Tail gate N/A Max Truck size: Straight truck 40’ 48’ 53’
Trailer type: Reefer Van only N/A Will the driver unload the shipment? Yes No
Roll Loading
Poker chip on: floor pallet with spacers Rolling position on skids N/A
Unloading Equipment
Rolls: Clamp Forklift Pallet Jack Sheets: Clamp Forklift Pallet Jack