|
CARC
4100 Sen. J. Bennett Johnston Avenue
Lake Charles, LA 70615
(337)-433-4235
FAX (337)439-1886
CREDIT APPLICATION
(Print this application and mail or fax to the above address or fax number)
NAME:
___________________________________________________________
ADDRESS:
___________________________________________________________
___________________________________________________________
TELEPHONE: ___________________________________________________________
FAX:
___________________________________________________________
BILLING ADDRESS: ___________________________________________________________
___________________________________________________________
CONTACT PERSON: ___________________________________________________________
TELEPHONE: ___________________________________________________________
Do you require a purchase order? ___________________________
Our terms are net 30 days.
Follow this link to our "Privacy
Notice"
|