Intro Distribution Line Card Where to Buy Contact Us Apply Online Employment Web Ordering click for map Wholesale Account Application Form   Account type desired Open Account Credit Limit    or COD/Company check    Company Name   Phone                  Fax      Billing Address   City,State,Zip   Shipping Address   City,State,Zip   Business Location    Commercial Bldg.  Internet based  Home Residence    Is this a Corporation?   Yes   No    At this location? years   In business? years   IRS ID Number     Resale #      Previous Address     Other Branch Addresses     Name of Manager   Name of Buyer   Name and Title of Owners/Partners/Officers   Bank Name   Account Number   Bank Address   City,State,Zip   Bank Phone     Do you pledge to borrow on your accounts receivable?  Yes   No  BUSINESS REFERENCES: MUST BE COMPLETE!   Name     Phone     Address     City State Zip     Name     Phone     Address     City State Zip     Name     Phone     Address     City State Zip     Name     Phone     Address     City State Zip   I/we authorize CSI to investigate bank/business references listed for the purpose of obtaining an account with CSI and certify the information given to be current and correct. Upon submitting this application, I/we personally guarantee payment of all invoices in full and in accordance with the terms of sale set forth by Competition Specialties, Inc. (CSI). Copies of CSI terms and policies are available upon request. I/we fully understand this to be a binding obligation, which in the event the CSI brings legal action to enforce payment, I/we promise to pay past due service charges/collection agency charges/attorney fees and court costs.   Owner/Partner/Officer Name Check if you agree to above statement Yes -   No - E-mail Address

Copyright Competition Specialties Inc. 2007
2402 West Valley Highway North
Auburn Washington 98001
253-833-6211