Application for Credit
* = Required field

Customer Information
Bill To:* Ship To:
Address:* Address:
Address: Address:
City:* City:
State:*   Zip:* State:    Zip:
Phone:* () Phone: ()
Fax: () Fax: ()
Office Use Only

State Code
City Code
County Code
Sales Tax %
Acct Number
Sales Terr
Credit Limit
We would like to receive Original Invoices by E-mail (2 signatures required).
Accounts Payable E-mail Address*
Accounts Payable Contact* E-Mail*
Accounting Manager E-Mail
Controller/CFO E-Mail
A sales tax exemption certificate must be on file with our company to eliminate a sales tax charge.

Credit History:
Dun & Bradstreet #:
Trade Reference (a minimum of 2 raw material or product suppliers):
Name:* Name:*
Address: Address:
City, State: City, State:
Phone: Phone:
Fax:* Fax:*

Terms and Conditions:
1) Container Graphics Corporation's (CGC's) standard terms of payment are Net 30 Days.
2) CGC has the right to obtain credit history from their credit reporting provider - Dun & Bradstreet.
3) Customer agrees to pay applicable tax in addition to the amount of each invoice; and at the same time the invoice becomes due and payable. Sales Tax Exempt certificate must be on file to eliminate sales tax.
4) CGC reserves the right to revoke any credit extended to a customer because of the failure to pay for goods due; or for any reason deemed good and sufficient by CGC.
5) Maximum charge of $50 will be imposed in the event of the customer's check being returned to CGC by the customer's bank.
6) Customer agrees to pay any collection costs incurred to collect the account balance including court costs, collection fees and attorney fees of not less than 33% of the unpaid balance.

The above information is provided for the purpose of extending credit to our company at your terms of Net 30 days.
To the best of our knowledge and belief, the information supplied is accurate and may be relied upon in making a credit decision.
We authorize contacts and trade references supplied to furnish you any information necessary.

Your Name:*  Title:*  Date:*

Last modified: November 19, 2012