"*" 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*Signature*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.CAPTCHA Δ Terms and Conditions