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Credit Application

General Information

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How do you wish to receive your invoices?

Is business a

Tax Exempt?

Credit References

Banks

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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.
IP logged as 34.229.131.158
actual time logged as Sun, 28 May 2023 20:40:09 +0000

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

Illinois

1005 Tonne Road
Elk Grove Village, IL 60007

deb.shumaker@carlisleccm.com
Maryland

9060 Junction Drive
Annapolis Junction, MD 20701

krebstock@petersenmail.com
Texas

10551 PAC Road
Tyler, TX 75707

jennifer.harris@petersenmail.com
Georgia

102 Northpoint Pkwy
Acworth, GA 30102

dlawson@petersenmail.com
Arizona

1800 S 7th Avenue, Suite 130
Phoenix, AZ 85007

deb.shumaker@carlisleccm.com
Washington

9817 233rd Ave. E Suite A
Bonney Lake, WA 98391

deb.shumaker@carlisleccm.com

Electronic Signature

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.

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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 by clicking the button below and submit it via Mail or Fax.

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