Terms: All sums due by reason hereof shall be due and payable at the office of seller in Victoria, Victoria County, Texas. Terms are
established by credit department. A Finance charge of 1.5 % per month (18% per year) will be made on balances not paid within limit of
established terms (not to exceed 30 days). Please sign to authorize Gulf Coast Paper Co., Inc. to obtain credit information from your
company's credit sources.
New Account Form
Date
Customer Name
Billing Address
State/Province Zip/Postal Code
Main Phone
Fax Phone
Shipping Instructions: Est. Monthly Purchases
Please do not fill below, Office Use Only
Taxable Account Exempt#
No Yes
Matrix Code
Credit Limit
Contract/Rebate
Route
Bldg. Name
City
State, Zip
Special Needs and/or Requests:
Ship To Information (please attach any other locations)
Contact Name
State/Province
Contact Phone
www.gulfcoastpaper.com
More than Paper
Owner/President SSN or FED ID
Purchasing Phone
A/R e-mail
Business Type
Terms Code Request
COD Net 7 Net 30 Credit Card
Backorders Allowed
Yes
No, Place on Future
No, Delete
Shipping Address
A/R Contact
Purchasing Contact
A/R Phone
Sales Rep Account Approved By Date Credit Limit
Substitutes Allowed
PO Required
Yes
No
Yes
No
Packing List Only
Please list your Credit
References Here
Phone
Number
Date
Open
High
Credit
Balance
Now Due
Last
Payment
Credit
Terms
Rating
Stop
Invoices Requested
Internal Special Notes/Action Items:
Please Leave blank
Office Use Only
Signature Date
At Delivery Mail E-Mail
Yes No
Line Item Taxes Needed?
Yes No
Print Form
319
NEW ACCOUNT FORM
www.gulfcoastpaper.com • Much More Than Paper
