Customer Financial and Credit References Submit Form "*" indicates required fields Bank Name*Contact Person*Address*Email* Phone Number*Fax NumberCreditor 1Contact PersonAddressPhone NumberFax NumberEmail Current TermsCurrent LimitCurrent BalanceCreditor 1Contact PersonAddressPhone NumberFax NumberEmail Current TermsCurrent LimitCurrent BalanceCreditor 1Contact PersonAddressPhone NumberFax NumberEmail Current TermsCurrent LimitCurrent BalanceTerms and Credit Limit Requesting from The Platinum Packing GroupTerms RequestedCredit Limit ($)Order FrequencyPlease provide a predetermined amount and specify whether weekly, monthly, or annually.Initial Order ($)We/I currently maintain an Annual Sales Volume ofAuthorized Signature I certify that I am a representative of the above referenced company authorized to release the above information to The Platinum Packaging Group. To the best of my knowledge all information provided above is correct. I hereby authorize The Platinum Packaging Group to check references and other pertinent data.Authorized PersonPrinted NameTitleSignatureDate MM slash DD slash YYYY This field is hidden when viewing the formSiteCAPTCHA
