Application Form

Bank References

Institution Name:

Bank Address: City: State: ZIP Code:

Phone

Trade References

Enter reference below or you can upload saved information.

Upload Trade References

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Upload Trade References

Company Name:

Contact Name:

Address:

Phone

Account Opened Since:

Credit Limit:

Current Balance:

Tax Exempt Forms

Attach your tax exempt form or fax it to us at 718-624-7239 or email to accounting@rmacsupplies.com

Tax exempt

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taxexempt

The undersigned applicant hereby acknowledges and agrees that they have read this credit application, that everything stated in this application is true, complete and accurate and any false information may result in cancellation of an account. The applicant further authorizes Rmac Supplies to investigate applicant’s credit history.

Signature:*

Date:

Credit Application Form