Credit Application

Credit Application

Apply for wholesale credit terms with WCS Distributing, Inc. Please complete all required sections accurately. This application is for business use only.
Business Contact Information

Please provide your business contact details.
Company Name*
DBA / Doing Business As
Company Shipping Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Business Phone*
Please enter a valid phone number.
Cell Phone*
Please enter a valid phone number.
Email Address*
example@example.com
Company Type*
Years Under Present Ownership*
Product Interests

Select all brands your business is interested in.
Brands of Interest

BahcoCalicoCarltonChampionChapinCoronaEfcoFannoFelcoFred MarvinJamesonKleinKwik LoaderLeeCraftMontereyNo-SpillNotchOso LawnmowerPelican RopePro Gard OilPro Spray EquipmentSamurai SawSherrillTreeSilky SawSprayers PlusTowaTriLink SawWeaver ArboristWilliams Snap-OnWorldlawn MowerZanHeadGearOther
Primary Owner / Officer

Enter information for the primary owner or officer.
Full Name (Primary Owner/Officer)*

First NameLast Name
Home Address (Primary Owner/Officer)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone (Primary Owner/Officer)
Please enter a valid phone number.
Email (Primary Owner/Officer)
example@example.com
Second Owner / Officer

Enter information for a second owner or officer, if applicable.
Full Name (Second Owner/Officer)

First NameLast Name
Home Address (Second Owner/Officer)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone (Second Owner/Officer)
Please enter a valid phone number.
Email (Second Owner/Officer)
example@example.com
Third Owner / Officer

Enter information for a third owner or officer, if applicable.
Full Name (Third Owner/Officer)

First NameLast Name
Home Address (Third Owner/Officer)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone (Third Owner/Officer)
Please enter a valid phone number.
Email (Third Owner/Officer)
example@example.com
Do you own business property?

YesNo
Accounts Payable

Provide information for your accounts payable contact.
AP Contact Name*
AP Phone*
Please enter a valid phone number.
AP Email*
example@example.com
Billing Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Bank Information

Provide your primary banking details.
Bank Name*
Bank Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Bank Phone
Please enter a valid phone number.
Account Type

CheckingSavingsLine of Credit
Account Number
Trade Reference 1

Please provide your first trade reference.
Company Name (Reference 1)
Address (Reference 1)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone (Reference 1)
Please enter a valid phone number.
Email (Reference 1)
example@example.com
Type of Account (Reference 1)
Trade Reference 2

Please provide your second trade reference.
Company Name (Reference 2)
Address (Reference 2)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone (Reference 2)
Please enter a valid phone number.
Email (Reference 2)
example@example.com
Type of Account (Reference 2)
Trade Reference 3

Please provide your third trade reference.
Company Name (Reference 3)
Address (Reference 3)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone (Reference 3)
Please enter a valid phone number.
Email (Reference 3)
example@example.com
Type of Account (Reference 3)
Repayment Agreement
Repayment Terms: All invoices are due Net 20 days from the date of invoice. A service charge of 2% per month (24% per annum) will be charged on all past-due balances. In the event of default, the applicant agrees to pay all collection costs, including reasonable attorney’s fees.
Credit Authorization
Authorized Name
Date

MonthDayYear
Date
Authorized Signature*

Powered by Jotform SignClear
By signing above, you certify that all information provided is true and complete, and authorize WCS Distributing, Inc. to verify references and obtain credit reports as necessary for credit evaluation purposes.
California Resale Certificate
Purchaser Name
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Seller Permit Number
Business description
Description of property being purchased for resale
Legal Disclaimer: It is a misdemeanor to give a resale certificate for purchases that you know at the time of purchase will not be resold. Misuse of this certificate may result in penalties.
I certify that the above information is accurate and that the property purchased will be resold in the regular course of business.
Phone (Resale Certificate)
Please enter a valid phone number.
Title
Date (Resale Certificate)

MonthDayYear
Date
Signature (Resale Certificate)*

Powered by Jotform SignClear
Should be Empty:

Credit Application

Business Contact Information

Product Interests

Primary Owner / Officer

Second Owner / Officer

Third Owner / Officer

Accounts Payable

Bank Information

Trade Reference 1

Trade Reference 2

Trade Reference 3

Repayment Agreement

Credit Authorization

California Resale Certificate