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New Customer
Credit Application

Fill out the fields in the form below and we will get back to you as soon as we review your information.

Raymond Supply Company

720 Old Northwest Boulevard

P.O. Box 4115

Winston-Salem NC 27115-4115


Phone: 336-723-8873

Email: Raymondsupply@gmail.com

Credit Application

Mailing Address

Multi-line address

Company Officers

Trade References

(Companies that you already have credit with)

Please provide phone numbers as well as city and state if references have multiple branches.

Bank

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