| Quick Credit Application |
Fax to: 208-377-3759 (or) Mail to: PVC Spiral Supply - 123 45th St. Boise, Idaho, USA 83714
| Company Name | EIN | Phone | Fax |
| Street Address | City | State | Zip |
| Billing Address | City | State | Zip |
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| Trade References | ||
| 1. Name | Phone | ||
| Address | City | State | Zip |
| 2. Name | Phone | ||
| Address | City | State | Zip |
| 3. Name | Phone | ||
| Address | City | State | Zip |
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On approved credit, a minimum credit limit of $1,000.00 will be issued. Larger line of credit may require additional information. Visa, American Express and MasterCard accepted |
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