Home
Products
Contact
What's New
Information
Feedback
Terms
Credit Application

S.I.S.CO.
P.O. Box 9485
Longview, TX
75608-9485

903-295-1677 Tel
903-295-1931 Fax

email

 

New Customer  Credit Application

Date:
Resale Certificate #:
Company Name:
Tax ID No:
Mailing Address:
City, State, Zip:
Shipping Address:
City, State, Zip:
Principal Owner or Partner:
Phone Number:
Type of Business:
                  Sole
Proprietor
                  Partnership
                  Corporation
Fax Number:

Accounts Payable Contact Name:
Email Address:
How Long In Business:
If less than five years, Please advise A, D, & B or other Rating:


COMMERCIAL & BANK REFERENCES
Please complete information, including contact and account numbers where applicable.

Business Firm:
Phone Number:
Street Address:
Fax Number:
City, State, Zip:
Email Address:
Known Since:
High Credit Extended:
Amount Owed:
Account Number:
   
Business Firm:
Phone Number:
Street Address:
Fax Number:
City, State, Zip:
Email Address:
Known Since:
High Credit Extended:
Amount Owed:
Account Number:
   
Business Firm:
Phone Number:
Street Address:
Fax Number:
City, State, Zip:
Email Address:
Known Since:
High Credit Extended:
Amount Owed:
Account Number: