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 fi rst order and Tax Exemption Certifi cate, if applicable. D&B rated fi rms with established credit
may purchase on open account. Individuals or fi rms 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,
Partial Shipments Allowed Y/N ________________________
please submit your sales tax exemption form.
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
