Creative Pultrusion Application For Credit

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Please complete the following form to Apply For Credit:
(all fields are required )

BY:

Name of Firm or Individual
Address
City
State - Zip Code
Phone (include Area Code)
Fax
Amount of Credit Requested
Years at This Address

HEREBY applies for credit in accordance with the terms and conditions of:

Creative Pultrusions, Inc.
214 Industrial Lane
Alum Bank, PA 15521
814-839-4186
Fax: 814-839-4276

Perci Fungaroli
Credit Manager

Net 30 Days / Mastercard / Visa
Our Normal Credit Terms

The following information can be provided.  It will be held in the strictest confidence.

OWNERSHIP:

Corporation Check if Incorporated within the past 12 Months
Partnership Individual

Provide Name(s) of Principle(s), Complete Address, Zip Code, and Phone 
Numbers of All Principle(s)

1. 
2. 
3. 
4.

FINANCE:

Bank
Bank Address
Bank Officer or Department
Phone (Include Area Code)

REFERENCES:

Please provide 4 business references below, include Business Name, 
Complete Address, City State, Zip, and Phone Number.

Reference 1

Business Name
Address
City
State & Zip Code
Phone Number (Include Area Code)

Reference 2

Business Name
Address
City
State & Zip Code
Phone Number (Include Area Code)

Reference 3

Business Name
Address
City
State & Zip Code
Phone Number (Include Area Code)

Reference 4

Business Name
Address
City
State & Zip Code
Phone Number (Include Area Code)

 Check here if cash sales are okay until credit is approved.

We certify that all information on this form is correct. We Fully understand your 
credit terms and agree to the proper payment in consideration of extended 
credit.

Date

Title  Your Name

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Creative Pultrusions Application For Credit