WELCOME to Marsh Cable & Connectors

"Distributor of Cable, Connectors and Premises Networking Products"

Wednesday, 07 January 2009 05:24am CST

Application for Credit

Instructions:
Complete the online application form below. After you press the SUBMIT button, you will be able to print out a copy of the application and fax it to us.

Additionally if your purchase is tax exempt, please download, complete, and fax the following form with your credit application.

Texas Resale Certificate

Company Information

Company Name:
Contact E-mail:
Address:

City:
State/Province:
Postal Code:
Type of Business:
How Long In Business:
Phone:

Business Type

Type:	Individual Limited Partnership Corporation Partnership
Principals (Name, Phone):

Banking Information

Bank Name:
Contact:
Phone:

Trade References (Three Are Required)

#1 - Company Name:
Address:
City, State, Zip:
Phone:
Fax:
Contact:

#2 - Company Name:
Address:
City, State, Zip:
Phone:
Fax:
Contact:

#3 - Company Name:
Address:
City, State, Zip:
Phone:
Fax:
Contact:

#4 - Company Name:
Address:
City, State, Zip:
Phone:
Fax:
Contact:

Invoicing Requirements (Required)

Are Purchase Order Numbers Required?	Yes No
Taxable(If no, Texas Resale Certificate, found at top, MUST be submitted with credit application)	Yes No
Number of Invoice copies:

Miscellaneous Company Information

Related Companies:
Finacial Statement Available?	Yes No
Dunn & Bradstreet Number:

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Marsh Cable & Connectors � 901 Terminal Road #100 � Fort Worth, Texas 76106
Phone (817) 625-9174 � Fax (817) 625-9177 � Toll Free (800) 719-4801
Email sales@marshcable.com