Application for a Business Account

Please fill out the form below to establish an account with us. All credit decisions will be made only in the event of a completed application with three trade references, and a signed agreement below.

Contact Info

Billing Name:

Address:

City, ST:

Zip:

Billing Contact:

Phone:

Email:

Add Separate Shipping Location Hide Shipping

Shipping Name:

Address:

City, ST:

Zip:

Shipping Contact:

Phone:

Email:

Officers/Owners/Partners

Name:

Title:

Phone:

Email:

Name:

Title:

Phone:

Email:

Name:

Title:

Phone:

Email:

Business & Credit

Credit Card Only

Bank Name:

Bank Address:

Bank Phone:

Bank City, ST:

Account Type:

Account Number:

Fed Tax ID:

Credit Amount Required:

Require Purchase Orders:YesNo

Monthly Statements:YesNo

Sales Tax Exemption

Tax Exemption Number:

State:

Business/Trade References

Company Name:

Phone:

Fax:

Email:

Address:

City, ST:

Zip:

Company Name:

Phone:

Fax:

Email:

Address:

City, ST:

Zip:

Company Name:

Phone:

Fax:

Email:

Address:

City, ST:

Zip:

Agreement

The undersigned herby represents that all of the above information is true and makes said representations for the purpose of obtaining credit from KB Commercial Products. The undersigned agrees to pay all bills for merchandise received from KB Commercial Products according to the terms of the sale and for failure to do so, agrees to pay all costs of the collection, including a reasonable attorney's fee, with or without suit, together with a service charge on any unpaid balance at the rate of 1.75% per month (21% per annum) unless otherwise agreed upon in writing. The undersigned agrees to notify KB Commercial Products of any change of ownership.

I have read and agree

Credit Card Account

Please choose how you would like us to handle credit card payments. Also, keep in mind that we accept credit cards on our website at anytime.

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