Page 53 - Southeast Plastics 2019 Catalog_04_17_19_Neat
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New Account Application
Return to:
Southeast Plastics
PO Box 14905
New Bern, NC 28561
866-491-9044 ph
877-213-3525 fax
Company
Bill To Address
City State Zip
Ship To Address
City State Zip
Preferred Shipping Method Account #
Type of Account: Sole Proprietorship ( ) Partnership ( ) Corporation ( )
Phone Fax
Contact Title
Email Address Phone
Alternate Contact Title
Accounts Payable Contact
Email Address Phone
Type of Business: Automotive ( ) Engraving Signage
Miscellaneous ( )
Number of Branches
Branch Locations
Years in business
Trade References:
Name Telephone # and Fax #
1.
2.
3.
4.
Bank
Account Number Bank Contact Phone Number
Auth Rep
Signature Date
Customer Service\New Account Application
