Customer Account Application Page 2
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1
2Customer Account
Application
Additional credit information/trade references request
Credit Information
Type of business
(Circle One) Sole proprietorship – Partnership – Corporation – LLC – Other
Bank Name
Contact
Account Number
Phone
City, State, Zip
Email
Trade References
Company Name
Contact
Address
Phone
City, State, Zip
Email
Company Name
Contact
Address
Phone
City, State, Zip
Email
Company Name
Contact
Address
Phone
City, State, Zip
Email
Agreement
By completing this portion of the application and signing below, you authorize Wabash Steel
Supply, LLC to make inquiries into the banking and business/trade references that you have
supplied.
Signature & Date
Printed Name & Title
P a g e
| 2
Rev. 04/16
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Parent category: Business