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Our online catalog offers a wide selection of packaging, shipping, paper, and janitorial supplies.
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15% Off First Order!

New Customers-Open an account with Susquehanna Paper & Sanitary Supply today and receive 15% off your first online order!
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Open Account

Customer Data:

Customer Name:

County:

Other County:

E-mail:

Business Type:

Corporation or Institution
Professional Office or Organization

Customer Classification:

If other:

Bill To:

Address:

City:

State:

Zip:

Phone:

Fax:

Contacts:

Accounts Payable Name:

Accounts Payable Phone:

Fax:

Buyer Name:

Buyer Phone:

Fax:

Ship To Address:

Customer Name:

Address:

City:

State:

Zip:

Ship To Contact:

Ship To Phone:

Fax:

Additional Ship Addresses:

Payment Method:

Payment:

Cash/Check
Visa/MC/Amex
1%/10 Net 30***

Tax Exemption:*

Tax Exempt Number:

Trade Reference 1:**

Reference 1 Name:

Reference 1 Address:

Reference 1 City:

State:

Zip:

Reference 1 Phone:

Account #:

Fax:

Trade Reference 2:**

Reference 2 Name:

Reference 2 Address:

Reference 2 City:

State:

Zip:

Reference 2 Phone:

Account #:

Fax:

Trade Reference 3:**

Reference 3 Name:

Reference 3 Address:

Reference 3 City:

State:

Zip:

Reference 3 Phone:

Account #:

Fax:

* Tax exempt customers must submit a tax exempt certificate.

** All three references must be filled out to receive a charge account.

*** Available upon approval by Susquehanna Paper.

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Susquehanna Paper & Sanitary Supply Corporation
P.O. Box 3487 | 2889 South Reach Road | Williamsport, PA 17701
(570) 323-3656 | Toll-Free: 800-341-3430 | Fax: (570) 323-3189
E-mail: info@susquehannapaper.com

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