Business Credit Account Application for Shepley Wood Products

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Fill out our Online Form below to apply for a Business Credit Account. (printable PDF)

Date of Application

Amount of Credit
Requested

Name of Business

# of Years in
Business

Please check
the best
description

Corporation Partnership Trust Proprietorship

Other | Description

Business Address

Cell Phone #

Business Tel #

Business Fax #

EIN # of Business

Home Telephone #

E-Mail Address

Name of Principal(s)

Title

Address(es)

Social Security #

Firms with
whom you
have had an
open account

[Firm Name and Address]

Bank References

[Please state branch and contact]

Supplies to be
used for

	Construction of own house		Remodeling
	Construction of spec/custom house(s)		Household projects

How did you
hear about us?

	Referral		From one of our salespeople
	Advertising

Best description
of business

	Developer/Builder(1)		Flooring Installer(7)
	General Contractor (2)		Landscaper(8)
	Sub Contractor(3)		Exterior Deck Builder(9)
	Remoder(4)		Building Own Home (10)
	Architect(5)		Remodeling Own Home(11)
	Roofer/Sidewaller(6)		Local Business(12)

Corporate & Personal Authorization to check credit

The statements herein are made for the purpose of obtaining credit, and are true. I/WE hereby authorize Shepley Wood Products or any other investigative agency employed by Shepley Wood Products, to legally investigate any corporate and personal references herein listed or statements or other data obtained from me or from any other person pertaining to credit and financial responsibility.

Please forward a copy of your driver's license and any tax exempt forms to fax number 508-862-6076