Credit Application | FowlerSupply

Fowler Supply Business Credit Application

Download the credit application and email the completed form to AccountsReceivable@fowlersupply.com, or submit your business credit application by completing the online form.

Download Fowler Credit Application

BUSINESS CONTACT & STRUCTURE INFORMATION

• Your Name

• Title

• Your email address

• Company name

• Company website

• Billing address (Street, City, ST Zip)

• Business phone

• Business Structure

• If other structure

• Tax exempt

• Tax #

• Fed ID #

BUSINESS LOCATION & CREDIT INFORMATION

• Primary business shipping address (Street, City, ST Zip)

• How long at address

• Date picker

• Accounts payable email

• Bank name

• Bank website

• Bank address

• Type of bank account (1)

• Account number (1)

• If other (1)

• Type of bank account (2)

• Account number (2)

• If other (2)

BUSINESS / TRADE REFERENCES

• Business / trade reference name (1)

• Account type (1)

• Reference address (1)

• Contact name (1)

• Phone number (1)

• Email address (1)

• Business / trade reference name (2)

• Account type (2)

• Reference address (2)

• Contact name (2)

• Phone number (2)

• Email address (2)

• Business / trade reference name (3)

• Account type (3)

• Reference address (3 )

• Contact name (3)

• Phone number (3)

• Email address (3)

AGREEMENT

1. All invoices are to be paid 30 days from the date of the invoice. All balances exceeding 30 days are subject to 1.5% monthly finance charge. Delinquent accounts, requiring collection procedures, are subject to legal fees.

2. By submitting this application, you authorize Fowler Waterproofing Supply, Inc. to make inquiries into the banking and business/trade references that you have supplied.

SIGNATURE

Signature