Apply for Credit

If you wish to place an order simply phone, fax, e-mail or mail us. To get a jump on the paperwork — complete the online form and submit below or download our Credit Application Form (PDF) and fax or mail it:

Wallguard.com terms for new customers is as follows:
Step/Order #1: 100% COD, Visa, MasterCard, American Express or Check in advance
Step/Order #2: 50% NET 30, 50% COD, Visa, MasterCard, American Express, or Check in advance
Step/Order #3: 100% NET 30 (up to approved credit limit)

ON-LINE CREDIT APPLICATION
Name of Firm/Facility:
Ownership: Public    Private
Street Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:
Tax Exempt: No Yes Tax ID # (Please send valid certificate)
Type of Business:
Year Established:
Names of Principles:
Check one: Corporation  Partnership  Sole Proprietor 
Other, please specify
Parent Company
(if any):
Parent Address:
Bank Name: Contact:
Bank Address: Account #:
Bank City/State/Zip: Phone:
Trade Reference #1: Phone:
City/State/Zip: Fax:
Trade Reference #2: Phone:
City/State/Zip: Fax:
Trade Reference #3: Phone:
City/State/Zip: Fax:
Authorizing Name: Title:
Date:    

 

 


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