Credit Application

Outrageous service from day one

Payment and credit, made simple

At Chase Plastics, our Credit Specialists work with the utmost integrity to provide all aspects of credit and collection support for our customers worldwide.

If you’d prefer to print and fill your application, you may download our credit application form here.

Looking for additional payment methods or other documents? Check out our Credit and Payments page for more.

Meeting customers

Credit Application Form:

Business Type

Max. file size: 50 MB.
(Please attach copy of certificate) Most of our supplier base insists we obtain a copy of our customer Resale Certificates

Approval Based Upon Credit Review

Once approved standard terms are Net 30

Contacts

Section II

The undersigned hereby agrees that should a credit account be opened, in the event of default in payment of amount due, applicant agrees to pay any collection costs incurred during the collection process which may include lawyer fees and maximum interest charges allowed by purchaser’s state. All billing disputes must be reported by the customer within 10 days of receipt. The undersigned, as an inducement to grant credit, warrants that the information submitted is true and correct. Applicant has a continuing obligation to update the information provided and guarantee its accuracy. Applicant authorizes Chase Plastic Services to check all bank and other credit references of Applicant and disclose information regarding applicant’s indebtness to any bank or other grantor of credit. It is agreed upon that the approved credit limit or terms may be withdrawn with or without prior notice upon default in payment. As an authorized representative of the company, I have acknowledged receipt of, read and accept the electronic version of Chase Plastic Services, Inc. “Conditions of Sale”, which is located online at www.chaseplastics.com or in our customer handbook.
MM slash DD slash YYYY

Business / Trade References

Please either attach references or list them below. Please include E-MAIL ADDRESSES.

Trade References (Please list at least 1 resin supplier):

Please either attach references or list them below. Please include E-MAIL ADDRESSES

"ECOA" The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age; (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the consumer credit protection act. The federal agency that administers compliance with this law concerning this creditor is Federal Trade Commission, Equal Credit Opportunity; Washington, D.C. 20580
If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact Chase Plastic Services, 800-232-4273, within 60 days from the day you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement.

Our Team is Ready To Assist

We’re the industry’s go-to source for specialty engineering resins. Our technically skilled sales team and technical service and application development engineers are here to guide you throughout the complex selection of medical grade plastics. We have a wealth of experience guiding customers in a variety of market segments toward improved manufacturing productivity.

Download our Medical Choice slick or contact us to learn about quality, cost-effective material solutions, and to speak to one of our technically skilled experts.

Find a Chase Plastics Representative in your area