New Account Application Form F8055 PDF
User Manual: F8055 New Account Application
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SKC Inc. 863 Valley View Rd Eighty Four, PA 15330-8619 Phone: 800-752-8472 FAX: 800-752-8476 SKC New Account Application Return to SKC with your first order and Tax Exemption Certificate, if applicable. D&B rated firms with established credit may purchase on open account. Individuals or firms without established credit may send a check or money order with their order or the order can be charged on American Express, Discover, Master Card, or Visa Credit. Company Name _________________________________ Type of Business _____________________________________ Purchasing Contact _____________________________ Title _________________________________________________ Phone Number __________________________________ Fax Number __________________________________________ Email __________________________________________ Billing Address __________________________________ Shipping Address _____________________________________ ________________________________________________ _____________________________________________________ County _______________________ Taxable Y/N ____ Tax Exempt No. ______________________________________ If you feel your purchase may be exempt from sales tax, please submit your sales tax exemption form. Partial Shipments Allowed Y/N ________________________ Requisitioner Name ______________________________ Title _________________________________________________ Phone Number __________________________________ Fax Number __________________________________________ Mailing Address _________________________________ ________________________________________________ Federal ID# __________________________________________ To apply for an open account, please supply 3 trade references and 1 bank reference. Allow 2 weeks for processing. Trade Reference: Trade Reference: Name __________________________________________ Name ________________________________________________ Address ________________________________________ Address ______________________________________________ ________________________________________________ _____________________________________________________ Phone __________________________________________ Phone ________________________________________________ FAX ___________________________________________ FAX _________________________________________________ Trade Reference: Bank Reference: Name __________________________________________ Name ________________________________________________ Address ________________________________________ Address ______________________________________________ ________________________________________________ _____________________________________________________ Phone __________________________________________ Phone ________________________________________________ FAX ___________________________________________ FAX _________________________________________________ Account No.__________________________________________ Open Account Terms: Net 30 days. Payment due 30 days from date of invoice. Requested Credit Line ___________________________ Account Contact Name (Print or Type) ________________________________ Title ________________________________ Signature ___________________________________________________________ Date _______________________________ Form F8055, Rev. 3 — 4 June 2010
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