Unitek Information Technologies

Credit

To establish your account with Unitek Information Technologies, please be sure to fill out the application accurately and completely. Fields marked with * are required. Click on the SUBMIT button.

When your credit application is approved, you will be contacted by the account executive assigned to your account. If you have any questions regarding filling out the credit application, call 877.686.4835, Monday through Friday, 9:00 a.m. to 6:00 p.m., for assistance.

Company Information
Name of the Company*
Address*
Contact Person*
E-mail Address*
Phone*
Fax
Seller's Permit #
Federal Tax ID #
Dun & Brad Street #
Type of Business*
# of Years in business*
Number of Employees
Parent Company(if any)
Bank Information
Name of Bank*
Account Number*
Contact Person
Phone*
Fax
3 Trade References
Name of the Company*
Address*
Contact Person
Phone*
Fax

Name of the Company*
Address*
Contact Person
Phone*
Fax

Name of the Company*
Address*
Contact Person
Phone*
Fax