Credit Application

We understand how important it is to our customers to have favorable terms when making investments in products such as Plattco Valves. Our accounting department is dedicated to doing their due diligence to ensure we can extend terms that will allow your organization to move forward through the buying process. As part of this process, we kindly ask for the information below, which will be kept confidential and be sent directly to our Accounting team. In order to expedite the process, we request that the information below is completed accurately and in its entirety. This will allow our team to work with credit agencies and your trade suppliers to assess the terms we can extend to your organization. If you have additional questions or concerns you can contact our Accounting department at AR@plattco.com or call 518.563.4640 directly.

Please fill the form below OR download the form by clicking on the link below.

Printable Credit authorization form

Please Fill out the form below...

Company Name (as indicated on legal documents)Bill To Address:

City:

State (XX):

Zip / Postal Code

Contact Person Name:

Contact Phone:

Contact Email Address:

Website:

Dun & Bradstreet #:

Years In Business:

*Please provide a copy of your W9 and your Exemption Certificate if your purchases are tax exempt.

BANK INFORMATION

Bank NameAddress:

City:

State (XX):

Zip / Postal Code

Contact Person:

Fax:

TRADE REFERENCES

TRADE REFERENCE 1:Company Name (as indicated on legal documents)Address:

City:

State (XX):

Zip / Postal Code

Contact Person:

Email:

Fax:

Phone:

TRADE REFERENCE 2:Company Name (as indicated on legal documents)Address:

City:

State (XX):

Zip / Postal Code

Contact Person:

Email:

Fax:

Phone:

TRADE REFERENCE 3:Company Name (as indicated on legal documents)Address:

City:

State (XX):

Zip / Postal Code

Contact Person:

Email:

Fax:

Phone:

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