Become a distributor of profitable Western Plastics products
To download or print a credit application click here. Fill out online then fax click here


Fax the completed form to: West Coast - (951) 695-2004 East Coast - (706) 625-0003 Canada (905) 568-9399


Credit Application:
Name:
Company Name:
Accounting Contact, Name/Title:
Billing address:
City;
State:
Zip:
Phone Number:
Fax Number:
E-Mail:
Federal ID No:
Resale No:
P.O. Required: Yes
References:
Name of Bank:
Phone:
Fax:
Account No.
D & B No:
 
Trade References are required for your application to be processed:
(1) Company:
Phone:
Fax:
Email:
Account No:
D & B No:
Trade References are required for your application to be processed:
(2) Company:
Phone:
Fax:
Email:
Account No:
D & B No:
Trade References are required for your application to be processed:
(3) Company:
Phone:
Fax:
Email:
Account No:
D & B No:
Optional:
Name other suppliers that you represent:
Stretch Film:
Food Film:
Foil:
What Western Plastics products are you most interested in?
Do you have other branches: Yes
If yes, please list: