Herd Creations Commercial Credit Application

Herd Creations Commercial Credit Application

Provide your business details, requested NET terms, and trade references, then sign to submit for review.
Requested Credit Terms
Requested Terms
Requested Credit Limit
Business Information
Legal Business Name
DBA / Trade Name
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City
State
ZIP Code
Business Phone
Please enter a valid phone number.Format: (000) 000-0000.
Business Email
example@example.com
Website
Federal Tax ID / EIN
Years in Business
Type of Business
Sales Tax Exempt?
Resale Certificate Upload File
Accounts Payable Information
Accounts Payable Contact Name

First NameMiddle NameLast Name
Accounts Payable Phone
Please enter a valid phone number.Format: (000) 000-0000.
Accounts Payable Email
example@example.com
Billing Address if different from business address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Bank Reference
Bank Name
Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Account Type
Trade References
Trade Reference 1 Contact Name

First NameMiddle NameLast Name
Trade Reference 1 Company Name
Trade Reference 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Trade Reference 1 Email
example@example.com
Trade Reference 1 Account Number (if applicable)
Trade Reference 2 Contact Name

First NameMiddle NameLast Name
Trade Reference 2 Company Name
Trade Reference 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Trade Reference 2 Email
example@example.com
Trade Reference 2 Account Number (if applicable)
Trade Reference 3 Contact Name

First NameMiddle NameLast Name
Trade Reference 3 Company Name
Trade Reference 3 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Trade Reference 3 Email
example@example.com
Trade Reference 3 Account Number (if applicable)
Authorized Representative Certification
Authorized Representative Printed Name

First NameLast Name
Title
Electronic Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I agree to the Credit Terms & Conditions above.
Should be Empty:

Herd Creations Commercial Credit Application

Requested Credit Terms

Business Information

Accounts Payable Information

Bank Reference

Trade References

Authorized Representative Certification