MASCO Catalog: Concrete & Masonry Tools (For the Trades)

156 MASONS SUPPLY COMPANY Oregon (800) 537-3407 ♦ Washington (800) 537-6216 Clackamas | Eugene | West Eugene | Hillsboro | Medford | Portland | Salem | Ridgefield | Seattle | Tacoma | Woodinville Application Continued On Next Page [ 1 of 2 ] Soc. Sec. No. – – Business Name Business Street Address City State Zip Billing Address Business Phone Fax Number Nature of Business Sole Proprietor Corporation Partnership LLC List All Owners, Officers, Principals, or Partners Full Name, Home Street Address, Home Phone (Use Additional Sheets as Necessary) Name Address Phone Name Address Phone How Long in Business How Long at Present Business Address If Less Than 1 Year Previous Address Construction Contractors Board License No. Dept. of Labor & Industries Contractors License No. Expiration Date Expiration Date Sales Tax Resale No. Bond Co. & Address Phone Bond No. Business Bank & Branch Phone Name of Bank Representative to Contact Checking No. No Bank Line of Credit? Construction Lender Phone Contact Person Phone Personal Bank and Branch Checking Account No. Savings Account No. Loan Account No. Have you or any other owner of officer ever done business with Masons? If yes, when? Under what Name? Federal Identification No. Business Personal Financial Statement Attached Name Name Name Name Address Address Address Address Phone Phone Phone Phone If sole proprietor or partner, please list the following: Driver’s License No. State Do you own your own home? Yes No Address City State Zip Yes REFERENCES (TRADE SUPPLIERS) 503-722-1528 Clackamas 541-744-6696 Eugene 541-683-1408 West Eugene 503-533-0107 Hillsboro 541-772-6161 Medford 503-234-4321 Portland 503-585-5504 Salem 503-582-9320 Wilsonville 206-767-4645 Seattle 253-581-6161 Tacoma 425-487-6161 Woodinville 360-887-4777 Ridgefield Form Yard 360-876-6372 Port Orchard M A S C O . N E T MASONS SUPPLY COMPANY Construction and Industrial Materials Attn: Bookkeeping Office – P.O. Box 42367 CREDIT APPLICATION