Credit Application | PromoCentric

Credit Application.

Legal Business Name(Required)

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

AP Email(Required)

Website Address(Required)

Business Start Date (approx)(Required)

Type of Business(Required)

Whom should we contact on credit matters?(Required)

Annual Sales(Required)

Number of Employees(Required)

Bank Reference.

Please upload your bank reference including the Bank Name, Contact Person, City, State, Phone Number, Fax Number, and Email.

File Upload(Required)

Accepted file types: pdf, doc, docx, ppt, pptx, pps, ppsx, odt, xls, xlsx, psd, jpg, Max. file size: 50 MB.

Trade References.

Please upload three trade references, each including the Business Name, Account Number, Contact Name (First and Last), and Phone Number.

File Upload(Required)

Accepted file types: pdf, doc, docx, ppt, pptx, pps, ppsx, odt, xls, xlsx, psd, jpg, Max. file size: 50 MB.