Trade Account Application Form

Name of Business

Phone

Sales & Use Tax or Resale ID#

Primary Contact Name & Title

Address

City

State

Zip Code

Your Company Description:

Foodservice Equipment Dealer (Wholesale)
National Account (part of a nationwide chain)
Rental or Caterer

Years in Business

Scope of Operation

Single Location
Multiple Locations

New Customer Policy: A signed copy of the Trade Account Application must be returned by email or by fax (336-449-6352).

New Accounts: Please allow up to 2 weeks for your new account paperwork to be processed. Submission of application form does not guarantee account approval. A customer number will be established upon approval of new account. Your initial order must include your account number.

By signing this form, I acknowledge that I understand and agree to the policies set forth by Engineered Plastics, Inc.

Name

Signature

Date

Please type the letters below