GEC Payment Terms Request

Approval Processor

Approval Processor Unassigned Belinda Claribel Kirstin
Please select either New or Existing customer
Is your company tax exempt?

Is your company tax exempt? Yes No
Please provide your sales tax exemption form.
Please provide the following.
W9 is required.

Please provide the following. W9 is required. W9 Form Business License
Please attach W9
Please attach Business License
Please select Business Type
Company Name
GEC Account Number
Federal ID
Credit Limit Requested USD $
Minimum amount $5,000
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Billing Address (if different from above)
Is Billing Address different from above?

Is Billing Address different from above? Yes No
Billing Address Billing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Accounts Payable Contact Information
Accounts Payable Contact Name Accounts Payable Contact Name First Last
A/P Phone A/P Phone - ### - ### ####
A/P Email
Comments:
Acceptance of merchandise constitutes agreement that all sums due hereon shall be payable at Carrollton, Texas. All payments shall be paid to GEC NET DUE IN THIRTY (30) DAYS. Agreed and accepted by customer. Please click here for more information on our terms.
Draw your signature into the box below or select Type for autogenerated signature.

Draw or Type

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Full Name

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Person making request Person making request First Last

GEC Payment Terms Request

GEC Payment Terms Request

Billing Address (if different from above)

Accounts Payable Contact Information

Acceptance of merchandise constitutes agreement that all sums due hereon shall be payable at Carrollton, Texas. All payments shall be paid to GEC NET DUE IN THIRTY (30) DAYS. Agreed and accepted by customer. Please click here for more information on our terms.