Vendor Referral Form | Houston, TX | Action Personnel, Inc

Vendor Referral Form

NEW CUSTOMER CREDIT INFORMATION

NEW CUSTOMER CREDIT INFORMATION

MAILING ADDRESS / NEW ACCOUNT INFORMATION

MAILING ADDRESS / NEW ACCOUNT INFORMATION

TYPE OF BUSINESS:

COMP. CODE USED:

EMAIL ADDRESS:

Customer Name:

#Yrs. In Business:

Address:

City

State

Zip

Telephone #:

Fax #:

Bill To (full name)

Title:

Purchase Order #

Contact:

Invoice Copies:

Yes

# Copies

Free Text

STATUS / REFERENCE INFORMATION

Corp:

Partnership:

Proprietor:

Subsidiary:

Yes

Owner / President’s Full Name:

Division Of:

Phone #: ( )

Address:

City

State

Zip

VENDOR CREDIT REFERENCE

VENDOR CREDIT REFERENCE

Bank:

New Field:

Acct. Rep:

Phone: #

Fax : #

Co. Name:

Phone:

Fax:

Address:

New Field:

Title:

Co. Name:

Phone #:

Fax #:

Address:

Contact:

Title:

Co. Name:

Phone #:

Fax #:

Address:

Contact:

New Field:

**NO CREDIT CARDS, – None of these will give credit info.**

CONTACT INFORMATION

Address: Corporate Headquarters:

1718 North Amburn Road, Suite A

Texas City, Texas 77592

Phone: (409) 935-0111

Fax. (409) 935-7682

Hours Of Operation

Mon - Fri: 8:00 am - 5:00 pm
Sat - Sun: Closed

Applications are taken in office,

Monday-Thursday 8:30 am-3:00 pm

Browse Our Website

CONTACT INFORMATION

Corporate Headquarters:
1718 North Amburn Road, Suite A
Texas City, Texas 77592
Phone:(409) 935-0111
Fax. (409) 935-7682

cking@actionpersonnel.net - Office Manager & Recruiter

cjevans@actionpersonnel.net - General Email

Hours Of Operation

Mon - Fri: 8:00 am - 5:00 pm
Sat - Sun: Closed

Applications are taken in office; with you valid Driver's License, or ID, Social Security card and resume. (All must be original documents)

Monday-Thursday 8:30 am-2:30 pm