WNL PRODUCTS REQUEST FOR CREDITIF YOU WOULD LIKE TO APPLY FOR NET 30 DAY TERMS, PLEASE COMPLETE THIS CREDIT APPLICATIONWe will process your application immediately, however, a decision cannot be made until we hear back from your references.Fields that are marked with an * are required.Please enable JavaScript in your browser to complete this form.COMPANY INFORMATIONCompany Legal Name *DBAAddress *City *State *Zip *Year Established *Social Security or Federal Tax ID# *Company Type *Select OneSelect OneCompany/CorporationPublic SchoolCollege/UniversityGovernmentOther Non Profit OrgOtherContact InformationPurchasing Contact Purchasing Contact Name *Purchasing Contact Phone *Purchasing Contact Email *Accounts Payable Contact Accounts Payable Contact Name *Accounts Payable Phone *Accounts Payable Email *Owner/Officer Contact Owner/Officer Name *Officer's Phone *Officer's Email *CREDIT REFERENCES (MUST HAVE EMAIL TO CONTACT YOUR REFERENCE)Company #1 Reference #1 Company Name *Account Number *Years Doing Business *Contact Name, Email & Phone *FirstLastCompany #2 Reference #2 Company Name *Account Number *Years Doing Business *Contact Name, Email & Phone *FirstLastCompany #3 Reference #3 Company Name *Account Number *Years Doing Business *Contact Name, Email & Phone *FirstLastTerms & ConditionsTerms and ConditionsFor the purpose of establishing this account, I consent to have WNL Products make the usual credit check with each trade reference as well as the bank reference, when applicable. I further agree that upon default in payment, to pay in addition to all outstanding invoices, all collection costs including attorney fees and legal expenses, plus interest at a rate of 1.5% per month (18% per annum) from the date of default on the outstanding invoices.Digital Signature (by typing my name below I consent to the above agreement) *Title *Email *Date *PLEASE INCLUDE A COPY OF YOUR RE-SALE OR TAX EXEMPT CERTIFICATE ALONG WITH THIS APPLICATION Click or drag files to this area to upload. You can upload up to 10 files. PhoneSubmit