Credit Application Credit Application Phone Number*Contact Email* Legal Business Name* First DBA*YesNoBusiness Address* Street Address City State Type Of Business*Years in Business*Federal ID*Tax exempt*YesNoPlease attach/ upload Copy* Drop files here or Accepted file types: jpg, gif, png, pdf. Florida Resale Tax Certificate#*Amount of Credit Requested*Do you require a Purchase Order*YesNoAll Invoicing will be sent electronically unless you require a paper hard copy please check here*I understandAccounts payable Full Name* First Accounts payable Phone Number*Accounts payable Email* Officers:Full Name* First Last Bank Reference Trade ReferencesBusiness Name Account NumberAddress* Street Address City State ZIP / Postal Code Contact Name * Business Name Name Account NumberAddress* Street Address City State ZIP / Postal Code Contact Name Email Date* Date Format: MM slash DD slash YYYY Have you spoken to a sales person?YesNoSales person name Full name Δ