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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 No

 

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:
Account No:
D & B No:

 

Trade References are required for your application to be processed:
(2)  Company:
Phone:
Fax:
Account No:
D & B No:

 

Trade References are required for your application to be processed:
(3)  Company:
Phone:
Fax:
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  No
If yes, please list:

                 

 

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(800) 752-4106 (800) 442-9727 (800) 957-8886 (951) 695 1983

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