PORTaPIT Online - Credit Application

Online Credit Application Please complete all information so we may obtain a prompt response from your creditors. Please allow 2 weeks for quick credit processing. (Normal credit processing is usually 4 to 6 weeks.) If you have questions, call 1-800-227-7404 dial "1" then x7202 to reach our credit department.
Bill To Information
Bill To:
Contact Name:
Classification:
Address:
City:
State:
Zip:
Phone:
Fax:
E-mail:
*If you are tax exempt, please send in an exemption form, ATTN: AR
Number of years in business:
Do you require purchase orders:	Yes	No
Authorized personnel to place orders:
Approximate amount of order:

Bank Information
Bank Name :
Address:
City:
State:
Zip:
Phone:
Fax:
Account Number:
*To my bank - I authorize you to release any credit information requested by Sport Supply Group, Inc.

Trade References (Minimum of 3)

#1	Name:
*(required)*	Street:
City:
State:
Zip:
Phone:

#2	Name:
*(required)*	Street:
City:
State:
Zip:
Phone:

#3	Name:
*(required)*	Street:
City:
State:
Zip:
Phone:

#4	Name:
Street:
City:
State:
Zip:
Phone:

Form Completed By: (Your Name)

In the process of opening an account with Sport Supply Group, Inc. it is understood that certain applicable credit reports may be obtained.

Form will not be sent until you click on the
"Submit Credit Application" button above.

Please complete all information so we may obtain a prompt response from your creditors. Please allow 2 weeks for quick credit processing. (Normal credit processing is usually 4 to 6 weeks.)

If you have questions, call 1-800-227-7404 dial "1" then x7202 to reach our credit department.

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