Johnson Packings & Industrial Products, Inc.
Engineered Sealing Solutions from Johnson Packings
Apply for Credit
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Cryogenic Processing
Gaskets
Mechanical Seals
Oil Seals
Trico Fluid Protection Products
Bearing Isolators
Pump/Valve Packing
O-Rings
Hydraulic Seals
Thordon Non-Metallic Bearings
Expansion Joints
Machines Plastics
Brake Linings
Suction Roll Seal Strips
Tekleen Water Filtration
Pump Parts
Accessories

You can now apply for credit with Johnson Packings online. Please submit the form below, or download our credit application in Adobe Acrobat PDF format, print it out and fax it back to the attention of our Credit Manager at 413-525-5520.

CLICK HERE TO DOWNLOAD THIS APPLICATION (28K).

APPLICATION FOR CREDIT

BY:
   
Name of firm or individual:
Address:
City:
State:
Zip:
Phone:
Years at this address:

HEREBY applies for credit in accordance with the terms and conditions of:
Johnson Packings
& Industrial Products, Inc.
21 Deer Park Dr. / P.O. Box 545
East Longmeadow, MA 01028
Phone: 800-356-0061
Local: 413-525-5555
Fax: 413-525-5520

Credit Manager: Deborah Shea

Credit Terms: Net 30 days

TAXES:
 
Are you sales tax exempt?
Yes

No

If yes, please fax state or multi exemption certificate to our Credit Manager at 413-525-5520.

The following information must be provided.
It will be held in the strictest of confidence.

OWNERSHIP:
Corporation Partnership Individual
Check here if incorporated within the past 12 months
  Name of Principal(s) Complete Address Phone
1.
2.
3.
4.

FINANCE:
   
Bank:
Bank address:
Bank officer or department:
Bank phone:

REFERENCES:
         
  Business Name Complete Address Phone Fax
1.
2.
3.
4.

Check here if cash or Credit Card sales are okay until credit is approved.
   
We certify that all the information on this form is correct. We fully understand your credit terms and agree to the proper payment in consideration of extended credit.
(Signed):
(Title):
Date:


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CONTACT US
24-Hour Emergency Service: 1-800-356-0061 | Email: infohnsonpackings.com
Headquarters: 21 Deer Park Drive, P.O. Box 545, East Longmeadow, MA 01028 | 413-525-5555 | Fax: 413-525-5520
Branch Office: 1185 Hammond Street, Unit 4, Bangor, ME 04401 | 207-262-7110 | Fax: 207-262-7118