Cash Account Application for Shepley Wood Products

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

Date of
Application

Name

Firm or D/B/A
(if applicable)

Cell Phone #

Business Tel #

Business Fax #

Home
Telephone #

E-Mail
Address

Social
Security #

Driver's
License #

Date of Birth

/ /

Current
Address

If PO Box,
give street
and house #

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)

Please note – Acceptable forms of identification for check writing are: current Massachusetts state drivers license; current Massachusetts state photo ID; or current passport. A copy of your acceptable identification will be attached to this application and kept on file for your convenience when writing checks in the future. All checks over $200. will be verified for sufficient funds. Shepley Wood Products, Inc. will charge a fee of $15. for any checks returned for insufficient/uncollected funds. We will not accept personal checks drawn on any bank outside of Massachusetts, nor will we accept an out of state drivers license/ID for identification.