Your Local office solution provider

for over a half a century
618 - 462 - 1079

Alton Location
 

500 East Broadway
Alton, IL 62002

Phone: 618-462-1079
Fax: 618-474-9969

Missouri line: 314-355-3503
Toll free (from 618 & 217
Area codes) 1-800-479-1079

Service Department
 

Phone: 618-462-3307
Fax: 618-462-1084

Jerseyville Location
 

813 W. Carpenter St.
Jerseyville, IL 62052

Phone: 618-498-9881
Fax: 618-498-9883
 
Credit Application

Please fill out the form below and someone will contact you as soon as possible.
 
*Company
*First Name
*Phone Number ()
*Email Address

Billing Address
Street
City
State
Zip Code

Shipping Address
Street 2
City 2
State 2
Zip Code

Application is being completed by
Name
Title

Names of Principles of Firm
Corporation
Partnership
Single Owner
President
Treasurer
Vice President
Controller
Division of
Parent Company

Address
Street
City
State
Zip Code
Type of Business
Number of Employees
Credit Line Desired Per Month $
How Long in Business if credit line requested is over $1,000.00, a financial statement is required
*Do You Use Purchase Orders?
Yes
No
Purchasing Agents
State Resale Number

Bank References
Checking
Name
Acct. No
Phone
Address
Street
City
State
Zip Code

Trade References
Name
Acct. No
Phone
Address
Street
City
State
Zip Code

Name
Acct. No
Phone
Address
City
Street
State
Zip Code

Name
Acct. No
Phone
Address
City
Street
State
Zip Code

lf the account is authorized on an open account basis, it is understood that our terms are net 30 days from the date of the invoice. Williams Ofhce Products, Inc. reserves the right to refuse to ship to any past due account.
Interest at the rate of 1.5% per month will be charged on all past due invoices. The purchaser also agrees to pay reasonable attorney fees and other costs incurred for collection.

*Your submission of this form on line
to Williams Office Products Inc.
represents your signature on this application


*Required Fields
 
 

©2006 Williams Office Products. All Rights Reserved.