Dealership Credit Application

Credit Application Form



Billing Address





Shipping Address











Please Check the one that Applies

YesNo

*NOTE: If not taxable, an Exemption Certificate is required.

BANK REFERENCES







TRADE REFERENCES (must have four references)

















I understand by signing this application that the company I represent agrees to pay all purchases per terms on invoice.

E-mail This Page

  • ( e.g. mike@hotmail.com, sales@yourcompany.com, sara@gmail.com )
We will not use the address you submit for any other purpose, nor will it be sold, traded or given away. Review our Privacy policy.

Lead Times

    6-8 WEEKS TO SHIP FROM KANSAS CITY, MISSOURI

  • Email all order status or tracking questions to Sales@Hi5Furniture.com