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Encore Plastics

Midstate Plastics

Durango

Encore Marine

Pro-Paintr

 

Thank you for for your interest in Extrusion Specialties. Whatever your needs are we have a solution for you.

American Eagle

© Copyright 1998-2003 Encore Industries, Inc.

Thank you for choosing Extrusion Specialties. Please fill out and return this credit application or print it out and fax or mail a completed copy to enable us to establish your open account.

In addition to Internet orders, we also accept orders via FAX and EDI. Our staff is available Monday through Friday from 8:00 a.m. to 5:00 p.m. EST. to take your orders and answer your questions. Internet, FAX and EDI orders may be sent at any time.

You can phone in your orders at 1-800-e-Encore (336-2673) or locally at 419-483-3032 from 8:00 am to 5:00 pm EST.
(Written confirmation must follow all telephone orders.)

You can fax orders and confirmations to us at 419-483-8326.

Want a faster way? You can submit your orders directly from our Web site.

All questions in the green sections must be answered before the application can be processed Questions in the pink sections are optional The yellow sections contain notes and explanations
BASIC ACCOUNT INFORMATION .
Full Business Name, (Account Name)
 Primary Contact Name
Billing Address Information


City: State: Zip: 		Shipping Address Information


City: State: Zip:
Billing Contact Information
Name:
Phone Number:
Fax Number: 		Shipping Contact Information
Name:
Phone Number:
Fax Number:
e-mail address
 Please enter the e-mail address to which all "online account information" should be sent.
Web address (URL)
 Please enter the internet web address or URL, if any.
ORGANIZATIONAL INFORMATION .
Yrs. In Bus.: Please indicate the type of organization and how long it has been in operation.
Resale #
Please enter your business Resale number. A resale number is required, and in order for us to comply with the State of Ohio Sales and Use Tax Laws we are required to have a signed Sales/Use Tax Exemption Certificate on file. Click here to download a copy of your State's Sales Tax Exemption Certificate and complete and fax a copy to 1-419-483-8326.
Enter your Company DUNS #:
or

Corporate head office phone number:
If you know your company's "DUNS #", enter it in the space provided.

If you don't know or don't have a DUNS #, put in the main phone number to your corporate head office.

CREDIT REFERENCE INFORMATION .
For the banking institution and each of the business institutions identified below, please provide the name and principal address of your applicable reference. For the banking institution and each of the business institutions identified below, please provide the name, and telephone and fax numbers for your primary contact at each applicable reference.
Banking Reference Information


City: State: Zip: 		Banking Contact Information
Name:
Phone Number:
Fax Number:
Business Reference #1 Information


City: State: Zip: 		Business Reference #1 Contact Information
Name:
Phone Number:
Fax Number:
Business Reference #2 Information


City: State: Zip: 		Business Reference #2 Contact Information
Name:
Phone Number:
Fax Number:
Desired Credit Line $ Require PO: Please indicate the amount of credit you are requesting and whether you require the use of a purchase order.
Applicant's Authorization Agreement

By submitting this application, Encore Plastics Corporation is hereby authorized to obtain credit and/or financial information from my/our bank(s) or other financial institutions or commercial firms with whom I/we have done business. It is understood that any such credit and/or financial information will be held in strict confidence and used only in consideration of this application.

Upon approval of this application, it is agreed that all purchases will be paid in full and in accordance with the terms of sale as stated on invoices(s). Should I/we not pay Encore Plastics or any of its affiliates according to terms, it is understood that credit priveledges may be withdrawn. If it is necessary to obtain assistance in the collection of any past due balances, I/we agree to pay reasonable attorney fees, collection fees, and/or court costs allowable by law. A copy of this statement and application has been received.

If you wish not to submit this application via the Internet then please print this page
and Fax it to 1-419-483-8326
Or Call 8:00 a.m. T0 5:00 p.m. EST   
1-800-e-Encore (336-2673) or 1-419-483-3032..U.S. & Canada
Thanks for your interest.