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SuppliesForMailers.com Net 30 Credit Application 
I hereby authorize Supplies for Mailers and A/R Funding, Inc. to obtain the necessary bank and trade information on my company. This information includes, but is not limited to, deposit and account balances, payment history, and the amount of funds and/or credit currently available. All information obtained is for the purpose of credit approval and will remain strictly confidential. Please note this order and all net 30 orders must be over $200, if they are less than $200 please use another payment method. All fields with a * are required to process your application. By typing your in the last field, you are signing the document and authorize us to use it as your digital signature. 
Note this form is secure, if you are not comfortable submitting this information online, you can fill it out online, print it, then fax the completed form to: Stephanie Moses at 864-675-0324
 

* denotes required field

Your Name and Title*
Your Phone Number*
Your Email Address*
Company Name*
Bank Name*
Bank Address*
99999 characters remaining
Bank Phone*
Bank Fax*
Bank Account #*
Bank Contact Name*
1st Trade Referance Company Name*
1st Referance Address*
1st Referance Phone*
1st Referance Fax**
1st Referance Customer or Account #
1st Referance Contact Name*
2st Trade Referance Company Name*
2st Referance Address*
2st Referance Phone*
2st Referance Fax*
2st Referance Customer or Account #
2st Referance Contact Name*
3rd Trade Referance Company Name*
3rd Referance Address*
3rd Referance Phone*
3st Referance Fax*
3rd Referance Customer or Account #
3st Referance Contact Name*
Your Accounts Payable Contact Name*
Your Accounts Payable Contact Phone Number*
Your Company Address*
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