ACCOUNT APPLICATION Name Company Name Phone Email Address Address City State ZIP Business Type:Business Type:CorporationPartnershipSole ProprietorOther Federal Tax ID Sales Tax Number President/Owner Name Address City State ZIP Phone Bank Information Bank Name Branch Address City State ZIP Account Number Are your purchases taxable?Are your purchases taxable?YesNo Tax Exempt Number Reason:Reason:ResaleIndustrial ProcessFarming/AgricultureOther Business Trade References: Company Name 1 Address City State ZIP Phone Fax Company Name 2 Address City State ZIP Phone Fax Company Name 3 Address City State ZIP Phone Fax Does your company require a PO number?Does your company require a PO number?YesNo Submit
