Credit Application

MIDWEST PACKAGING & CONTAINER, INC CREDIT APPLICATION

9718 Forest Hills Road, Machesney Park, IL 61115 Phone: (815) 633-6800 Fax: (815) 633-6968

Accounting Information

Accounting Contact(Required)

Accounting Email(Required)

Accounting Phone #(Required)

Email for Invoicing(Required)

Email for Statements & Payment Inquiries(Required)

******Tax exemption documentation must be provided with the application or tax WILL be charged!

Bank Information

Bank(Required)

Bank Address(Required)

TRADE REFERENCES

1) Company Name(Required)

Email(Required)

Address(Required)

Phone(Required)

Account #(Required)

2) Company Name(Required)

Email(Required)

Address(Required)

Phone(Required)

Account #(Required)

3) Company Name(Required)

Email(Required)

Address(Required)

Phone(Required)

Account #(Required)

4) Company Name(Required)

Email(Required)

Address(Required)

Phone(Required)

Account #(Required)

APPLICATION MUST BE COMPLETELY FILLED OUT OR IT WILL NOT BE PROCESSED

All terms of payment are NET cash, without discount, unless otherwise specified, regardless of what your purchase order states. All payments are due 30 days from the invoice date. Accounts become past due immediately, if not paid within the stated NET30 terms. All custom product has a standard +/-10% shipment of the ordered quantity. All shipments are subject to freight charges.

Name(Required)

Title(Required)

Date(Required)

MIDWEST PACKAGING & CONTAINER, INC CREDIT APPLICATION

Company Information

Accounting Information

******Tax exemption documentation must be provided with the application or tax WILL be charged!

Bank Information

TRADE REFERENCES

APPLICATION MUST BE COMPLETELY FILLED OUT OR IT WILL NOT BE PROCESSED

Midwest Packaging & Container