crimson

V E ND O R A C C REDITAT ION F ORM (PRC- F - 0 8 ) □ NEW APPLICATION □ RENEWAL □ UPDATE

COMPANY NAME:

TYPE OF ORGANIZATION: PRODUCT LINES: (PLEASE ENUMERATE)

□ SOLE PROPRIETORSHIP □ PARTNERSHIP □ CORPORATION

TYPE OF BUSINESS OPERATION:

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□ □ □
CONTRACTOR DISTRIBUTOR TRADER

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MANUFACTURER IMPORTER GEN. MERCHANDISE
OTHERS (SPECIFY):

C O NTACT D ETA ILS

OFFICE ADDRESS
TELEPHONE NO.:

FAX NO.:

MANUFACTURING PLANT /WAREHOUSE ADDRESS

TELEPHONE NO.:

FAX NO.:

EMAIL ADDRESS: WEBSITE:

CONTACT PERSON NAME POSITION CONTACT NO. EMAIL ADDRESS

CONTACT 1

CONTACT 2

CONTACT (ACCOUNTING)

L I C EN SES & OTHERS

TAX IDENTIFICATION NO.: DTI REGISTRATION NO.:

SEC REGISTRATION NO.: VAT REGISTRATION NO:

PCAB LICENSE NO.: SSS NO.:

C O RPO R ATE OFFIC ERS (author ize d s igna tor ie s )

FULL NAME POSITION / TITLE DESCRIPTION

M A JO R CU STOMERS (present)

CUSTOMER NAME ADDRESS TELEPHONE NO. CONTACT PERSON / POSITION

P R I NCI PAL B ANKS

BANK NAME ADDRESS TELEPHONE NO. CONTACT PERSON / POSITION

PAYMEN T TERMS I cer t if y t h at all in fo rm at io n p rovid ed is t ru e an d co rrect .

BANK ACCT
PAYMENT TERMS:
NO.:
BANK ACCT Sig n at u re over Prin ted N am e Po s i ti on
CREDIT LINE LIMIT:
NAME:

DELIVERY TERMS: NO. OF VEHICLES OWNED: Da te

Procurement Department | June 1, 2018 | Rev. No. 0