PRB Oil » Credit

Credit

Please click here to download a paper copy you can download, fill out, and bring into our office!

Name*
First Last
Social Security*
Business Name:
Tax ID
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit References
1*
2*
3*
Bank References
Name*
City*
State*
Contact Person
In the last 10 years, have you:
Had any accounts past due?*
Been a defendant in a lawsuit?*
Had a judgment entered against you?*
Declared bankruptcy?*
Had any equipment repossessed?*
If you answered any of these questions please explain why?
Signature

About PRB

PRB Oil is located in Blackfoot, Idaho. Perry and Ray Butt bring over 35 years combined experience in the fuel and oil industry. PRB Oil started in 2006 and is a family run business who pride themselves on providing the best service in the area, personalized attention, total maintenance service for commercial and personal needs.

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Services

December 2, 2014

Contact

62 N 550 W Trego Road
Blackfoot, ID 83221

perry.prboil@gmail.com

(208) 785-0401