APPLICATION FOR CREDIT

50 Randolph Road Somerset NJ 07730, U.S.A
Tel: 732-457-6654 Fax: 732-885-6688 Email: accounts.receivable@gaffney-kroese.com

APPLICATION FOR CREDIT

Please complete and press Submit

  • For U.S. Companies only:

  • If your company is exempt from sales tax, please submit the Uniform Sales and Use Tax Certificate – Multi-jurisdiction. If certificate is not on file, sales tax will be added to all orders.
  • Month/Day/Year
  • Month /DayYear
  • TRADE REFERENCES:

    Please provide a separate list of four (4) trade references and one (1) bank reference in the areas provided on the next page. In order to process your application, phone numbers and fax numbers must be provided along with complete address. Not providing this information will only delay the credit investigation process. (Please note as standard practice within the electrical industry, initial orders are handled on a cash in advance basis). We do accept Visa, MasterCard, American Express and Discover.
  • APPLICATION FOR CREDIT, Page 2 TRADE REFERENCES

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  • BANK REFERENCE