Request An Open Account With Precision Electric Company Name(Required)Official Company Website Requested Line Of Credit(Required)Less Than $1,000.00Between $1,001 And $2,500Between $2,501 And $5,000Between $5,001 And $10,000Between $10,001 And $25,000Between $25,001 And $50,000Greater Than $50,001Company D-U-N-S Number (Dun & Bradstreet Number) – NOT Required But SIGNIFICANTLY Increases Application Approval TimeCompany Legal Entity Type(Required)Sole ProprietorshipPartnershipCorporationOtherApplicant First Name(Required)Applicant Last Name(Required)Applicant Title / Position(Required)Applicant Phone Number(Required)Applicant E-mail Address(Required) Accounts Payable Contact First Name(Required)Accounts Payable Contact Last Name(Required)Accounts Payable E-mail Address(Required) Accounts Payable Phone Number(Required)Accounts Payable Fax NumberIs Your Company Tax Exempt?(Required)NoYesPlease Upload A PDF Copy Of Your Tax Exemption Certificate(Required)Accepted file types: pdf, jpg, png, jpeg, Max. file size: 5 MB.Does Your Company Prefer Invoices By U.S. Mail Or E-mail?(Required)U.S. MailE-mailCompany Billing Address For Invoicing(Required) Street Address Street Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Company E-mail Address For Invoicing(Required) Company Authorized Shipping Address(Required) Street Address Street Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please Upload A PDF Copy Of Your Credit & Trade References(Required)Accepted file types: pdf, jpg, png, jpeg, Max. file size: 5 MB.Additional Credit & Trade References (Optional)Accepted file types: pdf, jpg, png, jpeg, Max. file size: 5 MB.Additional Credit & Trade References (Optional)Accepted file types: pdf, jpg, png, jpeg, Max. file size: 5 MB.Additional Information You Believe Is Relevant To Your ApplicationAccount Application Agreements(Required) I agree and understand this application may be rejected outright if the above information is found to be incomplete, inaccurate or misrepresentative of the company. I agree and understand Precision Electric reserves the right to notify legal authorities if the above information is found to be made by an unauthorized individual, is intentionally inaccurate or maliciously misrepresentative of the company applying for credit. I agree and understand Precision Electric reserves the right to notify the company itself to confirm above information is made by an authorized individual, is accurate and is representative of the company applying for credit. I agree and understand Precision Electric reserves the right to make inquiries into the banking and business / trade references that you have supplied. I agree and understand all invoices are to be paid 30 days from the date of the invoice. I agree and understand claims or disputes arising from invoices must be made within seven working days. Signature Of Company Applicant Authorized To Open An Account(Required) Δ
