Customer Credit Application Please complete the following information to request Credit to be a Ruwac Customer. Customer Credit ApplicationCompany Name*Contact Name*Title*Address*City*State*Zipcode*TelephoneEmail*How long have you been in business?*Requested Credit Amount*Please enter a number from 2500 to 100000.Pending Ruwac SO# / Quote #*Ruwac Contact*Peer ReferencesRef #1 Company Name*Ref #1 Contact Name*Ref #1 Contact Phone #*Ref #1 Contact Email*Ref #1 FaxRef #2 Company Name*Ref #2 Contact Name*Ref #2 Contact Phone #*Ref #2 Contact Email*Ref #2 FaxRef #3 Company Name*Ref #3 Contact Name*Ref #3 Contact Phone #*Ref #3 Contact Email*Ref #3 FaxAdditional References (Optional)D&B NumberD&B RatingFederal Tax ID or SS#Email
