Credit Account Application | Pine Island Lumber

DESIGN SERVICES Example USP Title
Drafting and Design with access to Architectural and Engineering Services Example USP Subtext

DELIVERY OPTIONS Example USP Title
No Contact, Curbside & Job-Site Delivery Example USP Subtext

PROFESSIONAL CONTRACTOR REFERRAL Example USP Title
Referrals to Professional Contractors and Handy-Man Services Example USP Subtext

APPLY FOR A CREDIT ACCOUNT

Name/Address

First Name

Middle Initial

Last Name

Business Name *(if applicable)

Fed ID #

Address:

City

State

ZIP

Phone Number

Fax Number

Mobile Number

Email address

I would like my statements

Bank Reference

Institution Name

Phone Number

Address

Credit References

1) Name

Phone number or email

2) Name

Phone number or email

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that is to be used to determine the amount of conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to Pine Island Lumber in order

Signature

Date

SEARCH ×

Items ()

Item	Description	Item Code	Qty
	Product Name {{product.name}}	Item Code {{product.sku}}

Clear All

Details

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Check stock in other branches

Your pick-up branch is 86 South Main Street, Pine Island

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APPLY FOR A CREDIT ACCOUNT

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