Boot Barn Work Commercial Accounts Application

COMMERCIAL ACCOUNTS APPLICATION

All sections must be completed / For questions please contact commercialaccounts@bootbarn.com
Date

MonthDayYear
Full legal name of Business, Entity or Government Department
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Fax Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing Address (if different from above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Web Address
www.example.com
If business is a subsidiary, name of parent company, and address
Business Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
COMPANY INFORMATION
In business since

MonthDayYear
Date
Business type
Federal tax ID number
Duns number
State
Tax exempt / If yes, please provide a copy of the tax exempt certificate
File Upload

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CONTACT INFORMATION
Program Administrator
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
jdoe@email.com
PROGRAM DETAILS
Number of employees
Number of employees using the program
Type of Industry / Work
Maximum Company Contribution per purchase
Frequency (Annual, Semiannual, Seasonal, Etc.)
PRODUCT CATEGORIES, REQUIREMENTS & RESTRICTIONS:
Work Boots
Apparel
Flame Resistant
Gloves
Boot Care
Foot Care
Specific Safety Requirements ( ASTM, ANSI, OSHA, ESD, EH, Etc. )
Other Merchandise
Store Locations
Please indicate which store(s) you would like to service your account:
ex. "Orange, CA"
Please indicate which store referred you:
ex. "Orange, CA"
In Store Payment Type (please select one)
Special Instructions (Voucher must be authorized by a certain person, etc.)
To be completed by Accounts Payable Department
Billing information
Person to Contact Regarding: Invoicing / Billing
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
All invoices will be sent via email

If your company requires the use of a portal for invoice submission, please see the list of portals Boot Barn utilizes. Net 30 Terms will apply.
Portals (3% Fee may Apply)
Payment Options
Send to: creditapp@bootbarn.com
Please Attach: Trade/Credit Reference Sheet, Financial Report (For Publicly Traded Companies, or Fill out references below.

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Trade References

( Four Please )
1
Company
Contact
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
jdoe@email.com
2
Company
Contact
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
jdoe@email.com
3
Company
Contact
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
jdoe@email.com
4
Company
Contact
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
jdoe@email.com
Any and all sales of merchandise to Applicant shall be subject of the following terms and conditions:

1.Payment Terms: NET 30 from Invoice Date

2.Taxes: Buyer agrees to pay all federal, state, city and local use, sales, excise, receipts, and similar taxes applicable to the sale or use of the merchandise sold to Buyer.

3.Boot Barn Commercial Accounts are not eligible to participate in the Boot Barn Rewards Program.

As an authorized representative of the applicant herein, I acknowledge and agree that the applicant shall be bound by the Terms and Conditions set forth above. Further, I authorize Boot Barn to obtain such credit information as is deemed necessary, including bank and trade references, to process this request for credit.
Signature
Title
Print Name
Date
Please do not hesitate to contact us if you have any questions at 877-857-9675 or commercialaccounts@bootbarn.com or visit us at www.bootbarn.com/commercialaccounts

Please email your completed application to: commercialaccounts@bootbarn.com
Should be Empty:

COMMERCIAL ACCOUNTS APPLICATION

Billing Address (if different from above)

If business is a subsidiary, name of parent company, and address

COMPANY INFORMATION

CONTACT INFORMATION

PROGRAM DETAILS

PRODUCT CATEGORIES, REQUIREMENTS & RESTRICTIONS:

Store Locations

To be completed by Accounts Payable Department

Billing information

All invoices will be sent via email

Send to: creditapp@bootbarn.com

Trade References

1

2

3

4