Credit Application

If you wish to open an account on credit with us, please fill out and submit our credit application and we will respond to you promptly.  If you need assistance, please call our main number to speak to the accounting department at (330) 882-6743 or (800) 826-3370.

Prefer to fax or mail your application? Click here and fax completed application to Credit Department at (330) 882-2071.

Customer Survey:
How did you hear about our company?
 
General Information:
Contact Name
Company name/DBA
Street Address
City
State
Zip
County
Telephone
Fax
Business Entity:
Treasurer:  

Business Facts:

Years in Business:
   
Key Employees:
President:
Accounting Contact:
Purchasing:
   
Accounting Phone #:
Expected Monthly Purchases (in $):
Accounting email
Employer ID No. Or Social Security No.:
Sales email:

References:    
Name Telephone Fax

Sales Tax Status:

Please fax a copy of your Blanket Certificate of Exemption with this application to: (330) 882-2071.  If a form is not received, sales tax will be added to your order.



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