Skip to content
Minimum Order Requirement: $1000 | Orders Below $1000 Are Not Accepted
Search
Search
$
0.00
0
Cart
Home
Shop
About Us
Contact Us
New Customer Application
Credit Application
Shedule Phone Call
Home
Shop
About Us
Contact Us
New Customer Application
Credit Application
Shedule Phone Call
Home
Shop
About Us
Contact Us
New Customer Application
Credit Application
Shedule Phone Call
Home
Shop
About Us
Contact Us
New Customer Application
Credit Application
Shedule Phone Call
$
0.00
0
Cart
Search
Search
Credit Application
Company Name *
Phone | Fax *
E-mail *
Shipping Address *
Federal ID #
Sales Tax Exemption # *
Mailing Address *
Shipping Address *
Buyer contact name *
Buyer's email & phone *
A/P contact name *
A/P email & phone *
Date Business commenced *
Type of Business *
Sole propriertorship
Partnership
Corporation
Other
Bank name *
Mailing Address *
Contact name *
Contact e-mail *
Phone *
Fax *
Account number *
Type of account *
Savings
Checking
Other
Company name *
Account number *
Mailing Address *
Phone & Fax *
Contact name *
E-mail *
TRADE REFERENCE #2
Company name *
Account number *
Mailing Address *
Phone & Fax *
Contact name *
E-mail *
TRADE REFERENCE #3
Company name *
Account number *
Mailing Address *
Phone & Fax *
Contact name *
E-mail *
AGREEMENT
By submitting this Credit Application, the Applicant agrees that all invoices issued by Keyston Distribution LLC are payable in full according to the approved payment terms stated on each invoice. Credit terms are granted solely at the discretion of Keyston Distribution LLC and may be modified, suspended, or withdrawn at any time without prior notice. Any invoice that remains unpaid after the stated due date shall be considered delinquent. The Applicant agrees to pay a late payment charge of 1.5% per month (or the maximum rate permitted by applicable law) on all past-due balances, together with any collection costs, attorney's fees, court costs, or other expenses incurred in recovering outstanding amounts. Returned checks or declined electronic payments may be subject to additional processing or bank fees. All payments shall be made to Keyston Distribution LLC at the address designated on the invoice or through any payment method approved by the Company. By submitting this application, the Applicant authorizes Keyston Distribution LLC to obtain credit information from banks, trade references, credit reporting agencies, and other relevant sources for the purpose of evaluating creditworthiness. The Applicant further authorizes the listed references to release any information necessary to assist in the credit evaluation process. All decisions regarding the approval, continuation, modification, or termination of credit privileges are made solely at the discretion of Keyston Distribution LLC. The Company reserves the right to revoke or adjust credit terms at any time based on the Applicant's payment history or other relevant factors. All information provided in this application will be treated as confidential and used solely for credit evaluation and account management purposes. By signing and submitting this Credit Application, the Applicant certifies that all information provided is true, accurate, and complete, and agrees to be bound by these Terms & Conditions.
NOTE: THE SIGNER OF THIS APPLICATION MUST BE AN AUTHORIZED SIGNOR FOR THE COMPANY’S FINANCIAL ACCOUNT(S). FOR THE BANK REFERENCE PURPOSES, PLEASE INCLUDE THE EMAIL ADDRESS OF THE INDIVIDUAL WHO IS AUTHORIZED TO APPROVE THE REFERENCE
Name and Title *
E-mail *
Date *
By checking the box, you are confirming that the information you have provided is accurate and you consent to our terms and conditions.
Send
✕