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CREDIT APPLICATION
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PRODUCT CATEGORIES
Axel Components
Body Parts
Bumpers & Mud Flaps
Cargo Control
Chassis Parts
Chemicals & Adhesives
Doors & Accessories
Fasteners
Leg Components
Lighting & Components
Metal
Suspension
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Home/ CREDIT APPLICATION
To proceed on this page, kindly fill out the form below and click on the
"SUBMIT APPLICATION"
button
CREDIT FORM
Company Name:
Company Email:
President:
FIN/SS#:
IBT
Corporation
Sole Propritorship
LLC
Bill To Address:
Ship To Address:
A/P Contact:
Parts Manager:
Phone
Phone
Fax
Fax
Please Provide 3 Credit References
Mobile
GSM
Fax
Fax
Our Credit Terms are NET 30. If this is a problem, please explain
If your company is within Illinois and is tax exempt; please provide a copy of a completed
CRT-61, RUT-7, ST-587 or other form approved by the Illinois Department of Revenue.