Hanover Uniform

Credit Applications

If you would like to apply for a line of credit with Hanover Uniform, you may fill out this form, and then click on the "Submit!" button. Your email will be sent to our accounting department, where this information will be reviewed, and you will then be contacted. This page is secured using 128-bit encryption.

Company Information

Contact

Company Name:

President:

Vice-President

AP Person:

Phone Number:

Fax Number:

eMail Address:

Address

Street Address:

City:

State:

ZIP Code:

Bank Information

Note

Specify the name of your bank, your contact at the bank, your bank's phone number, and your account number.

Bank Name:

Phone Number:

Contact Name:

Account Number:

Credit References

Note

List three credit references (vendors/suppliers), each with a phone number. This information will be used for your credit check.

Reference #1

Company Name:

Phone Number:

Reference #2

Company Name:

Phone Number:

Reference #3

Company Name:

Phone Number: