Credit Application

Firm Legal Name Trade Name
Street Address Mailing Address
City, State & Zip City, State & Zip
Contact Name Phone
Accounting Fax Sales Fax
Accounting Email Sales Email

 

How do you wish to receive your invoices? Email Fax US Postal Service
Please provide email address for invoices
Is business a Corporation Partnership Individual
Date business started
Full name of Owner/Officers
Tax Exempt No Yes *please submit exemption certificate with application*

Credit References

Banks

Name Name
Address Address
City, State & Zip City, State & Zip
Phone Phone
Fax/Email Fax/Email
Account # Account #

Suppliers

Name Name
Address Address
City, State & Zip City, State & Zip
Phone Phone
Fax/Email Fax/Email
Account # Account #

 

Name Name
Address Address
City, State & Zip City, State & Zip
Phone Phone
Fax/Email Fax/Email
Account # Account #

Bank Authorization

To establish credit or update credit information, we authorize [enter bank name] to provide account balances, loan information, and other pertinent information to Petersen Aluminum Corporation.

Company Name
Authorized signature
IP logged as 184.73.107.18
Title
Date
actual time logged as Sat, 10 Dec 2016 12:29:39 -0600

For any additional paperwork including Company Tax Exempt certificates, please fax or email to your branch credit manager.

Elk Grove Village, IL
F - 800-722-7150
jmartorelli@petersenmail.com
Annapolis Junction, MD
F - 301-953-7627
krebstock@petersenmail.com
Tyler, TX
F - 903-581-8593
asanders@petersenmail.com
Acworth, GA
F - 770-420-2533
dlawson@petersenmail.com


Your Electronic Signature below verifies that you, the applicant, hereby requests open account status, authorizes normal inquiries needed to evaluate this request. We certify that all information on this form is correct. We agree to the terms and conditions granted by the seller's credit department.


Full Name: Title: Date:


Check this box to certify that you are the above listed person and that you are electronically signing this document.

 

 

By filling out the form above you are electronically submitting this information to Petersen Aluminum.  A PDF will also be forwarded to the email address you entered above.  You can keep this copy for your records.  You will also have an option to download a copy of the PDF after pressing the submit button.  If you do not wish to use the electronic version of this form you can download a fillable PDF form here [Credit Application] which can be printed and submitted via Mail or Fax.

Snap-Clad Panel
Tite-Loc Panel
Tite-Loc Plus Panel
Tite-Loc HS Panel
Snap-On Standing Seam Panel
High Snap-On Standing Seam Panel
Snap-On Batten Panel
Redi-Roof Standing Seam Panel
Redi-Roof Batten Panel
ColorGard® Snow Retention System
PAC-150 90° Single Lock
PAC-150 180° Double Lock
M-42 & M-36 Panels
7.2 Panel
1/2″ & 7/8″ Corrugated Panel
R-41 & R-36 Panels
Coil and Flat Sheet
Flashing and Trim
Custom Fabrication
Anodized Aluminum
Copper & Stainless Steel
PAC-750 Soffit
PAC-850 Soffit
Flush/Reveal Soffit
PAC-1000F Column Cover
PAC-1000C Column Cover
PAC-1000R Column Cover
PAC-2000F Column Cover
PAC-2000C Column Cover
PAC-2000R Column Cover
PAC SS Vented Eave & Intake Vent
PAC ECO Vented Fascia
PAC SS Rake Panel & Fascia
PAC SS Ridge Vents
PAC-TITE Angular Fascia
PAC-TITE WT Canted Fascia
PAC-TITE WT Fascia
PAC-TITE WT Extended Fascia
PAC-LOC Fascia
PAC Snap Edge Fascia
PAC Extended Snap Edge Fascia
PAC-TITE Gold Coping
PAC-TITE Coping
PAC-Continuous Cleat Coping
Precision Series Wall Panels
Composite Wall Panels
Flush/Reveal Wall Panels