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1 similar Open Account Application and Agreement contracts
ContractOpen Account Application and Agreement • May 20th, 2019
Great Lakes Aggregates, LLC Sylvania Minerals, LLC and Recycled Aggregates, LLC5699 Ready RoadSouth Rockwood, MI 48179Phone: 734‐783‐7400 Fax: 734‐379‐0311 OPEN ACCOUNT APPLICATION AND AGREEMENT Exact Legal Name of Business: Physical Address: City: State: ZIP Code: Phone: Fax: E-mail: Billing Address: City: State: ZIP Code: Principals/Officers: Name & Title: Name & Title: Type of Business and Federal ID#: Sole proprietorship: Partnership: Corporation: Other: Year Established: State of Incorporation: Taxable ______ Non-Taxable ________Form must be attached INVOICE AND BANK INFORMATION Contact Name for invoices: Telephone: Fax: E-mail: EFFECTIVE January 1, 2019, paper invoices will be an additional $0.25 per ton for processing. Bank name: Type of account: Account number: Contact Name and Phone: BUSINESS REFERENCES Company name: Address: City: State: ZIP Code: Phone: Fax: E-mail: Company name: Address: City: State: ZIP Code: Phone: Fax: E-mail: Company name: Address: City: S
