Credit Application / Client Information

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In an attempt to simplify and speed up your credit approval, we have developed this automatically generated credit process.

By completing the information below, you will send credit information requests to your selected banker and vendors. They will be able to provide us relevant credit information and reply electronically so that we can establish your credit limit quickly and efficiently.

Your Name:

Your Email Address:

Company Name:

Company Address:

City:

State:

Zip:

Billing Address same as above:

Billing Address:

City:

State:

Zip:

Company Phone:

Company Fax (optional):

Type of Business:

Federal ID Number:

Estimated Annual Sales with Welch Packaging:

Date Business Started:

Welch Location:

Tax Exempt:

Yes No

Tax Exempt Certificate Upload:

This application is for:

Credit Terms Credit Card Terms Cash in Advance

Credit Card Information: Please download this Credit Card Form if you choose credit card terms.

Invoice Method:

Invoice Email Address:

Invoice Fax Number:

Accounts Payable Information

Accounts Payable Contact Name:

Accounts Payable Contact Email:

Accounts Payable Contact Phone:

Banker Information

Bank Name:

Bank Contact Name:

Bank Contact Email:

Vendor Reference Information

At least one vendor is required for Credit Terms.

Vendor #1

Vendor Name:

Vendor Contact Name:

Vendor Contact Email:

Vendor Contact Fax:

Vendor #2

Vendor Name:

Vendor Contact Name:

Vendor Contact Email:

Vendor Contact Fax:

Vendor #3

Vendor Name:

Vendor Contact Name:

Vendor Contact Email:

Vendor Contact Fax:

Vendor #4

Vendor Name:

Vendor Contact Name:

Vendor Contact Email:

Vendor Contact Fax:

Questions

Please enter any comments or questions in the box below (optional)

Comments/Questions:

Standard Credit Terms: Net 30 Days (Early pay discounts are available)

All statements made herein are true and accurate to the best of our knowledge. We authorize Welch Packaging (WP) to review the information contained on this application and authorize Bank & Trade References to release any requested information for the purpose of granting credit. We authorize (WP) to make any and all inquiries necessary for action on this credit application. We additionally indemnify WP, and it's agents, from the liability resulting from their credit survey. Should this account upon default be collected by or through a collection agency/attorney, we agree to pay collection/attorney fees in addition to the principal indebtedness including interest at the maximum rate allowed by the law with intent calculated from the date of default.

Initial Here: You must enter your initials to submit.

I agree to the Terms and Conditions stated above.

You must agree to these terms to submit.

Push "Submit" to send this form to Welch Packaging Credit Department and to generate credit information requests to your Banker and selected vendors listed above.

Thanks for your help in streamlining the credit process. Welch Packaging-Delivering the Ultimate Corrugated Experience!