12575 Uline Drive Pleasant Prairie, WI 53158

Date:

12575 Uline Drive Pleasant Prairie, WI 53158

Uline Customer #:

Dear Customer,

To establish credit, please provide the email and fax numbers for one bank and two trade references. Once completed, email form to ulinecredit@.

Bank Reference Bank Name:

Address:

Trade References Name:

Address:

Phone: ( ) Fax: ( ) Email: Acct #:

Reference Release Signature Required Failure to provide a signature will delay our ability to establish credit.

Sign Here:

Phone: ( ) Fax: ( ) Email: Acct #:

Name: Address:

Phone: ( ) Fax: ( ) Email: Acct #:

Sincerely,

Uline Credit Department Phone: 877-513-3205 Email: ulinecredit@

Dunn & Bradstreet number (if listed) __________________________________

CHICAGO ? ATLANTA ? DALLAS ? LOS ANGELES ? MINNEAPOLIS ? NYC/PHILA ? SEATTLE INTERNATIONAL: MEXICALI ? MONTERREY ? EDMONTON ? TORONTO

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