"*" indicates required fields Please fill out the form below and our Credit Department will contact you when form is received for your card informationCompany Name:*PLI Account Number:*Billing Address:*City:*State:*Zip:*Phone:*Fax:Email Address:*Persons Authorized To Purchase Using This Card:Person 1*Person 2Person 3By Signing This Form, I authorize Peterman Lumber Inc. to charge my credit card for purchase and agree to pay all charges according to the card issuer agreement.Signature*CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ Terms and Conditions