Thank you for your request to open an account with Bausch + 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Bill To' Account Information section. Enter your legal business name, primary phone number, and billing address details including city, state, and zip code. Ensure that all contact information is accurate for smooth communication.
3. Proceed to the 'Ship To' Address section. Input the delivery address along with the corresponding city, state, and zip code. Include a contact name and email address for shipping inquiries.
4. In the 'Bank References' section, provide your bank's name, account number, and contact details. Be sure to answer whether there are any bankruptcy filings or judgments against your organization.
5. Complete the 'Pharmaceutical Credit References' by listing relevant contacts and their details. This helps establish your creditworthiness.
6. Finally, review all sections for accuracy before signing. Once completed, scan and send the document via email or fax as instructed.

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