Credit Application

PLEASE PRINT AND FAX COMPLETED APPLICATION.
Fax: 847-439-9728

United Packaging Products,Inc. Credit Application

Please be as specific and accurate as possible. The following information will not be shared with outside sources. Completion of application does not guarantee approval.

Applicant Information

First Name:

Last Name:

Address Street 1:

Address Street 2:

City:

Zip Code:

State:

Co-Applicant Information

First,Last Name:

Address: Phone:

Email:

Bank Information

Bank: A/C#: Checking A/C#

Address: Phone:

Email:

Loans:

Financial Information

Duns # FEIN#

State Tax#

Business Formation (Corp,Partnership,Proprietor):

Loan Information

Cr.Line Req.$: Date: S.Rep: CSR Rep:

Owners/Officers:

Division of:

Order $

Ship Date:

Other Information

Electronic Signature :

Date:

BY CHECKING THE BOX BELOW, YOU AUTHORIZE UNITED PACKAGING PRODUCTS,INC. TO INVESTIGATE YOUR CREDIT RECORD.