• Application for Credit Line Account

    This is a credit line request form for Providence, RI and South Yarmouth, MA locations only. We are a wholesale provider of parts, supplies and equipment to HVAC and Refrigeration professionals. Identification is required of all purchasers.

  • REQUIREMENTS FOR OPENING AN ACCOUNT:  An HVAC/R/E Trade License and an EPA 608 card representing the account is required and must be provided with this application. 

    The trade license and EPA card holder must be a current active employee. Trade Licensing is a State, Local and National code requirement for installing HVAC/R equipment. It is also required by the equipment manufacturer.  The EPA 608  certification is a federal requirement for refrigerant handling which is essential for working with heat pumps and all AC equipment. Once you become an account holder, it is your reponsibility to keep your certification current in our system.

  • Format: (000) 000-0000.

  • If you are requesting website credentials, please go to our Website Credentials Request form located on the website.  Each person requesting credentials must submit for individual credentials, and must be listed as authorized to purchase under the account.    

  • General Business Information - Section 1

    Required base information for all Account Requests
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • PRINCIPAL OWNERS, OFFICERS AND PARTNERS

    Provide Information for all Owners
  • Format: (000) 000-0000.

  • If multiple owners, Owner 2 information must be filled in - Separate page for additional owner information, if needed, can be uploaded at bottom of this page.

  • Format: (000) 000-0000.

  • PURCHASING DETAILS

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • SIGNATURE AND CONSENT:
    We herein make application to Johnstone Supply for credit and/or to update and reconfirm our existing account and balance with Johnstone Supply. Johnstone Supply is authorized to contact any references or banks listed above and pull credit reports. If credit is granted, I (we) agree to pay for all goods purchased by the 10th of the month following date of invoice. In the event payment is not made and this account is referred for collection, we agree to pay cost of collection equal to a minimum amount of twenty-five percent of the principal amount. If suit or action by an attorney is instituted, we promise to pay reasonable attorney fees in said suit or action. Venue shall be in the state and county of Johnstone Supply’s choice. Applicant specifically understands that they are waiving their right in choice of venue. Applicant agrees to pay interest and service charges at the highest rate permitted by law. Applicant(s) give their permission to Johnstone Supply and/or its agents to verify and/or supplement the information listed hereon. I understand that by providing the information above and signing this form, I am consenting to receive communications sent via facsimile and e-mail by, or on behalf of, Johnstone Supply.

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  • CREDIT LINE INFORMATION

    CREDIT LINE INFORMATION

    This Page is Required for all Credit Line Requests

  • If multiple owners, Owner 2 information must be filled in - Separate page for additional owner information, if needed, can be Uploaded at bottom of page 1

  • Bank References

    Insert Bank Information here or submit a separate sheet at the end

  • Commercial Trade References

    List only names of those you purchase from as an OPEN ACCOUNT. References WILL NOT be considered valid unless all information requested is provided. Please list as many open account references you have to help expedite your approval.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • PERSONAL GUARANTEE

    Must be competed by each share holder/owner with 10% interest or more

  • I           , SS#      , residing at                 , for and in consideration of your extending credit at my request to      (herein referred to as "The Company")of which I am    , hereby personally guarantee the payment at  Johnstone Supply  in the State of RI or MA of any obligation of the company or  its' successor and I hereby agree to bind myself to pay you on demand any sum, which may become due to you by the company, whenever the company shall fail to pay the same. It is understood that this guarantee should be a continuing and irrevocable guarantee and indemnity for such indebtedness of the Company. I do hereby waive notice of default, non-payment and notice there of and consent to any modification or renewal of the credit agreement hereby guaranteed.

  •  - -

  • I           , SS#      , residing at                 , for and in consideration of your extending credit at my request to      (herein referred to as "The Company")of which I am    , hereby personally guarantee the payment at  Johnstone Supply  in the State of RI or MA of any obligation of the company or  its' successor and I hereby agree to bind myself to pay you on demand any sum, which may become due to you by the company, whenever the company shall fail to pay the same. It is understood that this guarantee should be a continuing and irrevocable guarantee and indemnity for such indebtedness of the Company. I do hereby waive notice of default, non-payment and notice there of and consent to any modification or renewal of the credit agreement hereby guaranteed.

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