Credit Request

In order to expedite your request, please complete the below form. In addition, if applicable, please email a copy of your Sales and Use Tax Certificate of Exemption form to Angela Wright at awright@panelbuilt.com. If your project is located in another state, please provide additional certificates.

Credit Packet for New Customers - PDF - 6.35 MB

You may also mail them to:

Panel Built, Inc.
P.O. Box 2658
Blairsville, GA 30514

Online Application for Credit Form

Dun & Bradstreet No

Legal Business Name

Business Address

Address Line 2

Type of Business

Owner Name First

Phone Number

Project Name and/or Job Number

Federal Tax ID Number

Subsidary

Address Line 1

City

Zip

Years in Business

Owner Name Last

Contact Name First

Contact Phone

Alternative Contact Name First

Alt Contact Phone

Invoicing Address

Address Line 2

Invoices Should Be Sent...

Contact Name Last

Contact Email

Alternative Contact Name Last

Alt Contact Email

Address Line 1

City

Zip

Do you require a hard copy of the invoice mailed?

Yes

Do you have a Trade/Reference Sheet that has this information?

Yes

Ref #1 Company Name

Address Line 1

City

Zip

Ref #1 Fax

Ref #1 Contact Name

Address Line 2

Ref #1 Phone

Ref #1 Email

Ref #2 Company Name

Address Line 1

City

Zip

Ref #2 Fax

Ref #2 Contact Name

Address Line 2

Ref #2 Phone

Ref #2 Email

Ref #3 Company Name

Address Line 1

City

Zip

Ref #3 Fax

Ref #3 Contact Name

Address Line 2

Ref #3 Phone

Ref #3 Email

To further expedite the process, please attach the following files where necessary. Are AIA Forms required?

Yes

W9 Upload. If you do not have one available...

Is this product tax exempt?

Yes

Credit Request

Online Application for Credit Form

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