Credit Application

Please allow up to 48 hours for processing. (printable version)

Account # Owner(s)

Company Name Phone #

Street Address Alternate Phone #

Address Line 2 Email *required

City Fax #

State/Zip Sale Tax #*

Type of Business

Annual Gross Sales of Business

Monthly Estimate of Purchases

Do you use purchase order numbers? Yes No

Will you be doing warranty work? Yes No

Do you use more than one shipping address? Yes No

References (Please include one bank reference)

Name Phone #

Address Fax #

Note

Name Phone #

Address Fax #

Note

Name Phone #

Address Fax #

Note

By clicking submit, you agree to Dey Distributing's Credit Agreement Terms and Conditions as listed below.

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Dey Distributing is here to serve you! As a dealer, you need to buy parts all the time. To make that experience as smooth as possible, we've built a website based on your needs and suggestions. To gain access to our great prices, parts databases, and monthly and weekly deals, we need the above credit form on file for each company.

Alternatively, you can call our Vadnais Heights location (1-800-397-1339) and ask a representative for assistance, email us at support@deydistributing.com, or download a printable version of the credit application.

CREDIT AGREEMENT TERMS & CONDITIONS
Upon Company being approved by Dey, the following terms shall be applicable to the parties' relationship. The net balance of all invoices shall be due on the 15th of the next month following the invoice date. Any past due amount shallbe subject to a service charge of 1.5% per month. The Company shall be responsible for all service and finance charges, and all attorney fees and costs associated with the collection of all amounts due however. The owner(s) hereby personally guarantee the prompt and complete payment of all amounts due Dey under this Agreement, including all past due balances, service charges, attorney's fees and costs, and other costs of collection related thereto. Dey reserves the sole and exclusive right to change the terms of their credit policy and the terms and conditions of this Agreement at any time without notice to Applicant.