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*Telephone*Email* AP Email* How long have you been in business?*Requested Credit Amount*Please enter a number from 2500 to 100000.Requested Payment Terms*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 FaxCredit LimitRef #2 Company Name*Ref #2 Contact Name*Ref #2 Contact Phone #*Ref #2 Contact Email* Ref #2 FaxCredit LimitRef #3 Company Name*Ref #3 Contact Name*Ref #3 Contact Phone #*Ref #3 Contact Email* Ref #3 FaxCredit LimitAdditional References (Optional)Portal WebsiteIf using an online order and payment processing system. D&B NumberD&B RatingFederal Tax ID or SS#PhoneThis field is for validation purposes and should be left unchanged.
