"*" 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 2 Person 3 By 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