Federal tax ID:
Owner/President:
Financial contact:
Address Line2:
State:
Food and medical packaging film:
Agricultural film:
Trash bags:
Garment bags:
Grocery bags:
Merchandise bags:
Industrial liners:
Shrink film:
Stretch film:
Barrier film:
Geomembrane:
Lamination:
Packaging:
Beverages:
Container/Caps/Closures:
Agriculture:
Outdoor Furniture:
Others IM:
Beverage:
Medical:
Motor-Oil:
Chemical:
Other BM:
Primary Manufacturing Process:
No. of employees:
Grades - HDPE:
Grades - LDPE:
Grades - LLDPE:
Grades - HDPE BM:
Grades - PP HOMO:
Grades - PP COPO:
Grades - PET:
Grades - PVC:
Grades - EPS:
Grades - HIPS:
Grades - GPPS:
Grades - Other:
Qty/MT - HDPE:
Qty/MT - LDPE:
Qty/MT - LLDPE:
Qty/MT - HDPE BM:
Qty/MT - PP HOMO:
Qty/MT - PP COPO:
Qty/MT - PET:
Qty/MT - PVC:
Qty/MT - EPS:
Qty/MT - HIPS:
Qty/MT - GPPS:
Qty/MT - Other:
Year business established:
Requested payment term:
Ref1 Name CO:
Ref1 Name TR:
Ref2 Name CO:
Ref3 Name CO:
Ref1 Address CO:
Ref2 Address CO:
Ref3 Address CO:
Ref1 Title CO:
Ref2 Title CO:
Requested credit limit:
Ref3 Title CO:
Ref2 Name TR:
Ref3 Name TR:
Ref1 Address TR:
Ref2 Address TR:
Ref3 Address TR:
Ref1 Phone TR:
Ref2 Phone TR:
Ref3 Phone TR:
Ref1 CreditLine:
Ref2 CreditLine:
Ref3 CreditLine:
Ref1 CreditTerms:
Ref2 CreditTerms:
Ref3 CreditTerms:
Ref1 Name of bank BR:
Ref2 Name of bank BR:
Ref1 Contact person BR:
Ref2 Contact person BR:
Ref1 Phone BR:
Ref2 Phone BR:
Ref1 Address BR:
Ref2 Address BR:
Authorized purchaser 1:
Authorized purchaser 2:
Form Title:
Form Name:
Special requirements:
Brand preference:
Number of employees:
Machinery:
Investment projects:
Branches information:
Zip code:
Bill City:
Country Web To Lead:
Address Line1:
Ref1 Account #:
Ref2 Account #:
Account Status: