Application For Credit
Company Name
Years in Business
Street Address
City
State
Zip
*
Phone
Fax
*
Email Address
Owners and/or Principal Officers
Proprietorship
Partnership
Corporation
Other
Name
Title
Name
Title
*
Contact Person
Credit Information
Bank Name
Contact
Street Address
Phone Number
City
State
Zip
Trade Reference
Contact
Street Address
Phone Number
City
State
Zip
Trade Reference
Contact
Street Address
Phone Number
City
State
Zip
Credit Line Requested
Tax Exempt
Yes
No
Tax Exempt Number
State
Zip
I certify that all information and statements contained within this form are true and complete.
St. Clair Graphics, Inc.
406 Erie Street, Honesdale, PA 18431
1-800-882-9317 | 570-253-6692 | Fax: 570-253-6121 | Hours: 8:00 am - 4:30 pm
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