If your school or business would like to apply for a line of credit from Carolina, please fill out the application below.  A Carolina representative will contact you within 10 days of your application to discuss the terms of your credit line.
 
School or Company Name
Street or Box No.
County
City
State
Zip Code
Financial Officer or Accounts Payable Contact Person
Fax No.
Telephone No.
Email Address
 
Trade References
Reference 1
Company Name
Street or Box No.
County
City
State
Zip Code
Fax No.
Telephone No.
Email Address
 
Reference 2 (Optional)
Company Name
Street or Box No.
County
City
State
Zip Code
Fax No.
Telephone No.
Email Address
 
Reference 3 (Optional)
Company Name
Street or Box No.
County
City
State
Zip Code
Fax No.
Telephone No.
Email Address
   
Bank Reference
Name
Street or Box No.
City
State
Zip Code
Fax No.
Telephone No.
Email Address
   
 
   

 *If tax exempt, please mail or fax your tax exempt certificate to:

Carolina Biological Supply Company
2700 York Road
Burlington, NC  27215
Fax: 336.538.6326