CREDIT ACCOUNT APPLICATION

CREDIT ACCOUNT APPLICATION
Complete this application to establish a Credit Account with Maumee Supply. A Credit Account provides you with flexible payment terms, exclusive pricing, return assistance, manufacturer warranties, and detailed order tracking. With access to invoicing and account management tools, you can streamline purchases and improve cash flow. By completing this application, you ensure a more convenient and cost-effective purchasing experience.

We value your business and look forward to supporting your success!

Company Information: Used only to establish your account - your information is never sold or shared.

Independent Contractors: If you don’t have a company name but need a credit account, enter your name in the “Company Name” field.

Homeowners & COD Accounts: Click here to apply for a COD account instead.
APPLICANT:
Contact Name*

First NameLast Name
Job Title*
Business Phone*

Area CodePhone Number
Cell
Email*
example@example.com
KEY CONTACTS: (Including Owner, Purchasing, Project Manager, etc.)
Name 1

First NameLast Name
Job Title
Phone Number

Area CodePhone Number
Email
example@example.com
Name 2

First NameLast Name
Job Title
Phone Number

Area CodePhone Number
Email
example@example.com
Name 3

First NameLast Name
Job Title
Phone Number

Area CodePhone Number
Email
example@example.com
Name 4

First NameLast Name
Job Title
Phone Number

Area CodePhone Number
Email
example@example.com
COMPANY INFORMATION:
Company Name*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Phone*

Area CodePhone Number
Cell
Email*
Type of Business*

PlumbingHeatingBuilderRemodelerManufacturingMechanical ContractorOther
Operates as:*

CorporationPartnershipSole ProprietorLLC (Limited Liability Company)Other
Estimated Annual Purchase Volume*
Credit Amount Requested*
Sales Tax Exempt? If yes, please submit your Tax-Exempt Certificate.

YesNo
Is a Purchase Order (PO) number required for purchases?

YesNo
Would you like to receive a monthly account statement?

YesNo
Do you want prices displayed on all pick tickets?

YesNo
Any other special instructions?
COMPANY CREDIT INFORMATION:
Accounts Payable Contact*

First NameLast Name
Business Phone*

Area CodePhone Number
Cell

Area CodePhone Number
Email*
Company to Bill Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Bank Name*
Bank Phone*

Area CodePhone Number
Bank Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
CREDIT REFERENCES:

Please provide the following information for at least four (4) other suppliers.
Company Name
Contact Person

First NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Phone

Area CodePhone Number
Email
Type of Account
Company Name
Contact Person

First NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Phone

Area CodePhone Number
Email
example@example.com
Type of Account
Company Name
Contact Person

First NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Phone

Area CodePhone Number
Email
example@example.com
Type of Account
Company Name
Contact Person

First NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone

Area CodePhone Number
Email
example@example.com
Type of Account
AGREEMENT

By checking the box you agree to the terms and conditions. For questions, please email support@maumeesupply.com.
There shall be no waiver, alteration, modification, or change of any of the provisions or terms and conditions indicated above, except in writing and signed by a duly authorized representative of Maumee Supply.I hereby certify the foregoing to be true to the best of my knowledge, and agree to the above terms on behalf of the Applicant. Applicant agrees that a copy of this executed application delivered to Seller by facsimile, e-mail, or other electronic transmission, shall constitute an original document and Applicant's intent to open a credit account with the Seller. I further authorize the afore cited references and banks to supply pertinent information as may be requested to determine our credit capabilities.Any person signing below on behalf of this business entity confirms that it is a valid business entity and that the said person is authorized to enter into the agreement on its behalf.
Enter the word as it's shown*
Signature

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Date

MonthDayYear
Date

PERSONAL GUARANTY OF PAYMENT

As a direct inducement to Maumee Plumbing & Heating Supply, Inc., hereinafter “the Company,” to extend credit to the Applicant identified on Page 1 of this credit application document, each of the undersigned hereby unconditionally and irrevocably guarantees, jointly and several, the payment of any and all amounts now owed or any anything time hereafter owed by Applicant to the Company, including, without limitation, all costs and expenses incurred by the Company, including is reasonable attorneys’ fees, in endeavoring to collect such indebtedness and in enforcing this Guaranty.

Each of the undersigned agrees that this Guaranty shall be directly enforceable against him or her without first resorting to Applicant or exhausting remedies against it, and any indulgences, forbearances or extensions of credit or time of payment all not in any way release any of the undersigned from liability hereunder. This is an absolute and continuing Guaranty. Any notice of revocation by any guarantor hereunder must be in writing and delivered to the Credit Manager, Maumee Plumbing & Heating Supply, Inc. PO Box 309, Perrysburg, OH 43552-0309, via a mode of delivery evidencing receipt. This Guaranty shall be revocable only as to transaction entered into by the Company fourteen (14) or more days subsequent to its receipt of such written notice of revocation.

The parties to this Guaranty further agree that its terms shall be governed by the laws of the State of Ohio, and that any legal action brought under or related to this Guaranty, at the election of the Company, may be filed in any court of competent jurisdiction in Wood County, Ohio.

Each of the undersigned waives any and all notices to which he or she may be entitled, including without limitation, demand, notice of any extension of credit to Applicant, and notice of any indulgences, forbearances or extensions of time of payment which may be granted to the Applicant.

THIS GUARANTY IS INTENDED BY THE SIGNER TO BE PERSONAL AND NOT LIMITED TO HIS/HER CAPACITY WITH THE APPLICANT.
A. Name*

First NameLast Name
Social Security#*
### - ## - ####
Home Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone

Area CodePhone Number
Cell *

Area CodePhone Number
Email*
example@example.com
Signature

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B. Name

First NameLast Name
Social Security#
### - ## - ####
Home Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone

Area CodePhone Number
Cell*

Area CodePhone Number
Email*
example@example.com
Signature*

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At Maumee Supply, we want to make your ordering experience as easy and flexible as possible. In addition to shopping at our branches, you can place orders through our OE Touch Maumee Supply app or visit us online at www.maumeesupply.com anytime, from anywhere.

YES! I want access to purchase online through maumeesupply.com and the OE Touch Maumee Supply app.
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CREDIT ACCOUNT APPLICATION

AGREEMENT

PERSONAL GUARANTY OF PAYMENT