Credit Application – School District





School District Customer Set Up Form

Name of person filling out this form
All Blanks Must Be Filled In. If "Not Applicable" Please Write N/A
Legal Name
Street Address
City
State
County
Zip
Type of Purchase Control
 PO Only Phone Contract
Payment Terms Are Net 30 Days
Phone Number
Fax Number
Cell Phone Number
E-mail Address

Bill To Information

Name on Invoice

P.O Box

Street

State/Zip

A/P Supervisor

Ship To Address (If Different)

Name on Invoice

P.O Box

Street

State/Zip

Purchasing Agent