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Company Information


Mailing Address

Principle Owners


References (If applying for payment terms, provide information for those with whom you currently purchase on an open account)

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Which of the following best describes your company?

Please check any manufacturer whose products you purchase through wholesale distribution

I, the undersigned, hereby swear (under the penalties of perjury and false swearing), that all of the information shown on this application is true. I further certify if any property so purchased tax free is used or consumed by the firm as to make it subject to Sales or Use Tax, we will pay the tax due directly to the proper taxing authority when the state law provides or inform the seller for added tax billing. Banner Solutions is hereby authorized to investigate all trade references and obtain information from credit reporting agencies. I understand that credit is extended by Banner Solutions for my convenience and that Banner Solutions shall have the right to terminate this agreement at any time without notice to me. I agree that upon termination of this credit agreement, all sums owning on the date of termination shall be immediately due and payable, together with charges applicable thereto.