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BODYSHOP / COLLISION
CAROLINAS AUTO SUPPLY HOUSE
24/7 Fax 1.800.377.7016
M-F 8:00 AM - 5:30 PM Call: 1.800.438.4070
254
Fax to Accounting Dept. - Carolinas Auto Supply House, Inc.
FAX
(704)334-4194
or mail to:2135 Tipton Dr., Charlotte, NC 28206
Allow 4 weeks minimum for approval for references OR 1 day check approval with order
Please Print or Type - Company Checks Only
*Field Required for application processing
*Firm Name:
*Phone:
*Owner/Responsible Party
Fax:
Carolinas Account No.
State Tax I.D. No.:
*Mailing Address:
*City, State, Zip
*Shipping Address
City,State, Zip
*Bank Name:
Branch Address
City, State, Zip
*Checking Account Number:
*Bank Phone:
(Must Include Area Code)
Name on Checks
****STOP HERE FOR CHECK APPROVAL ONLY****
CREDIT REFERENCES
(Must Be Automotive in Nature)
*Company Name
Account No. (if applicable)
*Complete
Mailing Address
*Phone:*
Fax
*Company Name
Account No. (if applicable)
*Complete
Mailing Address
* Phone
Fax
*Company Name
Account No. (if applicable)
*Complete
Mailing Address
* Phone
Fax
(If different from above):
(If New Account):
APPLICATION FOR CREDIT/CHECK APPROVAL
Prices in this catalog are subject to change without notice. Please call a sales representative to confirm current pricing.