Universal Lubricants

Universal Lubricants Re-refinery

CELEBRATING THE RIBBON CUTTING CEREMEONY ON AUGUST 17, 2009! READ PRESS RELEASE BELOW

Please fill out forms provided accurately.

Contact Information
Your Name:
Email:
Phone:
Billing Information
Firm Name:
Billing Address:
City:
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Zip:
Shipping Information
Shipping Address:
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State:
Zip:
County:
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Special Instructions (P.O. required, etc.)
Credit References
Reference Company One
Company Name:
City:
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Phone:
Fax:
Reference Company Two
Company Name:
City:
State:
Phone:
Fax:
Reference Company Three
Company Name:
City:
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Company Information
Time in Business:
Number of Employees:
Estimated Monthly Purchase:
Owner or Manager	With completed credit application, terms will be set at 1% 10, Net 30 days otherwise terms will be cash on delivery.
Credit Terms
Tax Status:
Sales Tax No.	If no tax number is provided, customer will be charged applicable tax.
By submitting the applicant understands and agrees that if he uses the property or service other than as stated above or for any purpose which would not exempt the sale under the Act, he becomes liable for the tax. Applicant by signing, understands and agrees that if an open account is established, purchases will be paid according to terms and further agrees to pay 1-1/2 % finance charge on any balance past due. The undersigned official, to induce the granting of credit to the above named firm, hereby personally guarantees the company’s credit.