Toll Free: 800 541 8506
Phone: 847 265 1200
FAX: 847 265 9681
425 Park Avenue
Lake Villa, IL 60046
Credit Application

To apply for credit with ID Label please fill out the form below. Alternatively, you may download a hard copy of our form and fax or mail it to us here.

Company Name
Address

Phone
Fax #

Contact(name/title)
Email

Accounts Payable
Contact:

Phone
Email

Other Information
Year Established
# Of Employees

Products Sold
Areas Services

Corporation
Sole Proprietor
Partnership
Other

FEIN Number
DUNS number

Estimated Sales
Credit Amount Requested

References
Bank name:
Address

Contact:
Account #

Phone:
Fax #

Trade References
Name:
Contact:

Address

Phone:
Fax #

Name:
Contact:

Address

Phone:
Fax #

Name:
Contact:

Address

Phone:
Fax #

Other Financial Info

Or Attatch your own pre-filled form:
Your form: