Credit Application
Please fill all fields highlighted below. In references, either email or fax is required.
Primary Applicant
Business Name
Corporation Federal ID
Business Address
City
State
Zip
Telephone
Fax
Email
D&B Number
Year Established
Number of Employees
Estimated Monthly Volume requested for Credit
$
Delivery
Appointments needed
Lift gate truck
Electronic Documents Interchange available (EDI)
Type of Business
Corporation
Partnership
Sole Proprietorship
Other
Other
Nature of Business
Food Service
Paper Products
Janitorial Supplies
Redistribution
Other
Other
Representative Information
Sales Rep (Or manually enter below)
Beal, Noel (Strategic Packaging)
Brady, Sean (Strategic Packaging)
Calarese, John (John Calarese & Co)
Calarese, John (John Calarese & Co.)
Calarese, Carolyn (John Calarese & Co.)
Curio, Madeline (Aluf Plastics)
DeClark, David (Jackson & Associates)
Dwyer, Christie (Jackson & Associates)
Eichenstein, Rivka (Aluf Plastics)
Fess, Todd (Performance Sales)
Freidland, Brad (Strategic Packaging)
Gans, Mark (Performance Sales)
Gans, Mark (Performance Sales)
Kavich, Barry (Jackson & Associates)
Kipke, Nicholaus (Reps)
Koller, Steve (Favorite Brokers)
Leibert, Eric (Genesis Sales Associates)
McGuinness, Gretchen (Jackson & Associates)
Membreo, Yamil (Genesis Sales Associates)
Moore, Ben (Gilbert)
Pippin, Troy (New South Sales)
Puckett, Charlie (Jackson & Associates)
Repke, John (Reps)
Repke, John (Reps)
Rosenberg, Joseph (Aluf)
Schulgasser, Matt (Aluf)
Sullivan, Paul (Aluf)
Sullivan, Paul (Aluf)
Taylor, Dana (John Calarese & Co.)
VanTassel, Laura (Aluf Plastics)
Von Itter, Jack (Jackson & Associates)
Manufactures Representative Agency
Mfg Sales Rep Name
Representative Email
Group Membership
None
Afflink
Select Marketing
Strategic Marketing
RDA
Network
SSS
Prolink
CDI
United
Unipro
Nisco
Frosty Acres
DPA
Other:
Owners, Officers, Principals and Members
Owner
Confirmation
Price list
Quotation
Invoice
ASN (advance ship notice)
Marketing
Buyer
Confirmation
Price list
Quotation
Invoice
ASN (advance ship notice)
Marketing
Acct's Payable
Confirmation
Price list
Quotation
Invoice
ASN (advance ship notice)
Marketing
Shipping Manager
Confirmation
Price list
Quotation
Invoice
ASN (advance ship notice)
Marketing
Bank Reference
Bank Name
Phone
Fax
Address
City
State
Zip
Contact
Account #(s)
Trade References
Check this box if you want to open account as COD with no references
Reference 1
Name
Phone
Fax
Email
Address
City
State
Zip
Contact
Type of Products Purchased
Reference 2
Name
Phone
Fax
Email
Address
City
State
Zip
Contact
Type of Products Purchased
Reference 3
Name
Phone
Fax
Email
Address
City
State
Zip
Contact
Type of Products Purchased
By typing in your name manually on this Credit Application , you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement and you authorize Aluf Plastics to contact your noted trade references.
Submit
