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Easy On-line Credit Application

Credit Application

Please take a few minutes to fill out our request for open credit. After you complete the form be sure to e-mail a copy of your most recent year's balance sheet, operating statement and tax exempt form to Creditcompletion@bhconnection.com.

Company Information


Legal Entity: Partnership Corporation Sole Proprietorship
Proper Legal Entity:Customer Contact:
Address
City:State: Zip:

Bank Reference


Bank Name:Account #:
Officer:Phone:
Address
City:State: Zip:
County Name:Phone: Fax:
E-Mail Address
Fed Tax ID:Years In Bus.
Under This Name:
D&B Number:D&B Rating:

Trade Reference(s) (Please complete all Three)


Company Name:
Address
City:State: Zip:
Contact:Phone:

Company Name:
Address
City:State: Zip:
Contact:Phone:

Company Name:
Address
City:State: Zip:
Contact:Phone:

Credit Application Terms


THIS IS A REQUEST FOR OPEN ACCOUNT CREDIT. TERMS ARE "NET 30 DAYS". FREIGHT IS PREPAID AND BILLED. DIGITAL SIGNATURE AUTHORIZES RELEASE OF CREDIT INFORMATION BY BANK OR OTHER FINANCIAL INSTITUTION. BY COMPLETING THE ELECTRONIC ACCEPTANCE PROCESS AND CHECKING THE "AGREEMENT" CHECKBOX, YOU ARE INDICATING YOUR AGREEMENT TO BE BOUND BY ALL OF THE TERMS AND CONDITIONS OF THE SERVICE. YOU REPRESENT AND WARRANT THAT YOU: (I) ARE AT LEAST 18 YEARS OF AGE AND AUTHORIZED TO SIGN FOR AND BIND THE CONTRACTING PARTY AND (II) AGREE TO BE BOUND BY ALL OF THE TERMS AND CONDITIONS OF THIS AGREEMENT. IF YOU DO NOT AGREE, DO NOT CONTINUE WITH THE CREDIT APPLICATION PROCESS.

Yes, I agree to the terms and conditions listed above.