Traxon New Customer Credit Request Form

New Customer Credit Request Form
By filling out the below form, the user acknowledges and confirms that all information provided is the most up to date. The user also ensures and confirms the accuracy of all documents and information. The application and credit process may take up to 4 business days to complete once submitted.

Unless otherwise noted and approved, terms of payment are Net 30days.

Deposit needed if credit limit is exceeded.

Deposit required for all new customers. 50% deposit required on all custom orders.
Please note that we require the following documents in order to proceed with the New Customer and Credit Application:

- Valid signed W9

- Minimum of 3 credit reference

- Current resale certificate for state
Customer Name*
HQ Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Fax
Accounts Payable Contact Name*

First NameLast Name
Accounts Payable E-mail Address*
Duns Number*
Initial Order Value*
Numerical value required
Estimated Credit Amount Requested*
Numerical value required, please provide best estimation
Valid signed W9*

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Credit references*

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Resale certificate *

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I confirm that I have read all terms and conditions presented in this form and have filled out said form with accuracy and to the best of my ability.*

Confirm
Once this form is submitted, you will be contacted by a Traxon representative to confirm receipt. Thank you for being a Traxon customer.
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