Application for Credit

Please fill out the form below to request a line of credit for your business purchases.

Business Information

Sales Rep*
Bill to Company Name*
Requested Line of Credit*
DBA*
Years in Business*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are your Shipping Info and Billing Info are the same?*
- Yes
- No
Shipping Name
First Last
Shipping Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Name
First Last
Contact Email
Company Website*
Type of business*
- Corp.
- Sole Prop.
- Partnership.
- LLC.
- S Corp.
- C Corp.
Nature of Business*
Annual Revenue*
Should we charge you sales tax?*
- Yes
- No
Federal Tax or Employer ID #
Please provide a copy of your Sales Tax Exemption from your State(s).*
Max. file size: 128 MB.
Please attach a copy of your Resale Tax certificate, a completed W-9 form and your current Business State License(s) or Drivers or Import License(s).*
Drop files here or

Max. file size: 128 MB.
Bank Reference

Bank Name*
Bank Account #*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Phone*
Contact Fax
Contact Name*
First Last
Contact Email*
Trade References

Company Name
Phone
Fax
Address
City State / Province / Region ZIP / Postal Code
Company Name
Phone
Fax
Address
City State / Province / Region ZIP / Postal Code
Company Name
Phone
Fax
Address
City State / Province / Region ZIP / Postal Code
Applicant Authorization

All sales transactions shall be governed by the state of Kansas. Applicant agrees that payment terms are NET 10 DAYS, FOB Shipping Point unless expressly agreed to in writing by Arrow Material Handling. Past due balances are subject to interest at 1.5% per month (or the maximum permissible rate under applicable law, whichever is less) on the unpaid balance. Applicant will pay any legal fees and third party collection costs incurred by Arrow Material Handling to collect payment for past due amounts. Applicant agrees to promptly notify Arrow Material Handling in writing of any change in the ownership of Applicant. Applicant warrants and represents that the information contained herein is accurate and may be relied upon by Arrow Material Handling in making credit decisions, including increasing, decreasing or terminating any credit availability at any time with Arrow Material Handling sole discretion. Applicant hereby authorizes Arrow Material Handling to check its bank(s) and supplier(s) and any other source as necessary to complete the evaluation of Applications' credit history. Applicant acknowledges and agrees that, in the event of any inconsistency between the payment terms hereof and the terms of any purchase order or other document issued by Applicant, the terms hereof will control. Subject to compliance with all applicable laws, Arrow Material Handling reserves the right to deny credit to Applicant or increase, decrease or terminate Applicant's credit availability at any time and for any reason without notice to Applicant. Filling out this form is your electronic approval signature.
Authorized by*
First Last
Title*
Date*
MM slash DD slash YYYY
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Application for Credit

Business Information

Bank Reference

Trade References

Applicant Authorization