Business Credit Reports

Company Information

Company Name

DBA

Phone

Fax

Address

City

County

State/Province

Zip/Postal Code

Country

Legal Form (Corporation, Partnership, or Proprietorship)

State in which Incorporated

Principal Owners/Division or Subsidiary of

Nature of Business

# of Years in Business

# of Years at Location

Approx. Net Worth of Business

# of Employees

DUNS #

Tax Identification #

SIC Code Number

NAICS Code Number

Contact Information

First Name

Last Name

Title

Phone

Accounts Payable Contact Information

First Name

Last Name

Bank References

Bank Name

Address

City

State

Zip

Phone

Type of Account (Savings, Checking, Other)

Account #

Credit Reference #1

Company Name

Address

City

State

Zip

Phone

Fax

Credit Reference #2

Company Name

Address

City

State

Zip

Phone

Fax

Credit Reference #3

Company Name

Address

City

State

Zip

Phone

Fax

Anticipated Volume

Anticipated Order Volume per Month

Anticipated Order Volume per Year

Request

Requested Amount

Comments (400 characters max)

Supporting Documentation

Please upload your Resale Exemption Certificate to avoid having sales or use taxes collected.

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Please keep individual file sizes to 4MB or less.

Uploaded Documents

Terms

Terms & Conditions

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By clicking 'Submit', I/We authorize Reynolds Packaging LLC or its agent to obtain a credit report for the purpose of establishing, maintaining or enforcing a credit relationship. Upon approval of credit, I/We agree to pay our account according to the terms granted and I/We acknowledge that I/We have read and fully understand this application.

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