Businesses

Credit Application for Businesses

Use this page to apply for Net 30 payment terms as a company, reseller or other private organization. It takes about 15 minutes.

Is this the right form? Use this form if you are a company, reseller or private organization.
Are you a government agency, public school, college or university? Use the government & education credit application instead.

Before you start, have these ready

  • Your company's legal name, DBA (if any) and Federal Tax ID number
  • A copy of your business license or resale certificate
  • Your bank's name, address and a bank contact person
  • 3 trade references: other suppliers you buy from on credit (company name, contact, phone, email)
  • The person who will sign the form (owner, President, VP or CFO)
1

Download the form

Click the orange button. The form will download to your computer (usually into your Downloads folder).

Download the form (PDF)

Nothing downloaded? Open the form here, then click the download arrow (↓) in the top-right corner of the screen.

2

Open it in Adobe Acrobat Reader

Open the file you just downloaded with Adobe Acrobat Reader. It's free: get Adobe Acrobat Reader.

Important: don't fill out the form in a Google Drive preview. Your answers won't be saved. Always download it first, then open the saved file.
3

Fill in pages 2 and 3

Page 1 is just instructions. Click each box on pages 2 and 3 and type your answer:

  • Business contact information: legal name, DBA, purchaser, owners, address, phone, Accounts Payable contact, Tax ID, start date, and check your business type
  • Bank reference: your bank's name, address and bank contact
  • Trade references: 3 suppliers you buy from on credit
  • Page 3: title, printed name and date
4

Sign the form

The form must be signed. Pick whichever is easier:

  • Sign on screen: in Adobe Acrobat Reader, click Fill & Sign → Sign, then type or draw your signature.
  • Sign on paper: print the filled-out form, sign it with a pen, then scan it or take a clear photo of every page.

Page 3 has two signature spots. The second one must be signed by your President, VP or CFO.

5

Save the file

Click File → Save (or press Ctrl + S on Windows, Cmd + S on Mac). Remember where you saved it.

6

Email it to us

Send an email to [email protected] with:

Subject: Business Credit Application – [your organization name]
Attach:
  • The signed, filled-out form (all 3 pages)
  • A copy of your business license or resale certificate

Prefer fax? Fax everything to 909-206-1565.

7

Wait for our reply

Our sales team will review your application and email you with the result. You don't need to do anything else.

Stuck? We're happy to help.

Call 1-909-236-5395 (Mon to Fri) or email [email protected]