Pettyco Express Credit Application
A sales representative will contact you within 24 hours of submission.
Company Information
Company Name:
Telephone:
Address:
Fax:
City/State/Zip:
Tax I.D. No.:
Billing Address:
Attention of:
Telephone:
Individual requesting account:
Business:
Organization:
Corporation
Partnership
Association
Individual
Bank Information
Bank Name:
Branch:
Primary Acct. No.:
Telephone:
Local Trade References
Business Name:
Account No:
Telephone:
Business Name:
Account No:
Telephone:
Business Name:
Account No:
Telephone:
Billing Reference
Each time you place an order, we can ask you to provide us with a specific reference number or name. The reference will appear on each delivery item on our invoice. What type of reference would you like to be required?
None Needed
Client Number
Reference Number
Job Number
Cost Center
Department
Other
Service Interests
Courier Services
Truck Services
Warehousing/Distribution
Computer Support Interests
OTIS Delivery Tracking
Web-based Delivery Tracking
Online Customer Order Entry
Instant POD (fax/internet)
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