Beginning August 1st, releasable backorders will be automatically placed into your cart.
You may remove these items from your cart if you no longer wish to purchase them. These items can be re-ordered at another time.

WELCOME TO ANCHOR

 CURRENT HOURS

Phones open
Monday–Friday:
9:00 a.m.–5:00 p.m. EST

 TIME TO UPGRADE!

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Application for Credit and Trade Recognition


 

International Customers: please download and complete the International Confidential Application for Credit and Trade Recognition.

 
Business Name: *
Billing Address (Street or P.O. Box): *
City: * State: Zip Code: Country:
Business Phone: Business Fax:
E-mail Address: Check if member of:   CBA or ABA
Shipping Address (if different from billing):
City:   State: Zip Code: Country:
Business Type:  Corporation LLC Sole Proprietorship Partnership
Date Business Established (mm-dd-yyyy): * Length of Ownership (in years):
Business Hours: Last Year's Sales:
Sales Year to Date:   Retail Sales Tax License #
Tax-Exempt-501C3 # Employer Identification Notice (EIN) #
Web Address:

Provide Partners or Proprietor Contact Information:

Name: Title:
Home Address:  
City: State: Zip Code: Country:
Daytime Phone: Cell/Other:
Home Phone:   Social Security No:
Name: Title:  
Home Address:
City: State: Zip Code: Country:
Daytime Phone: Cell/Other:
Home Phone: Social Security No:

Provide Authorized Personnel Contact Information: Accounts Payable / Manager / Buyer
Name: Title:
Daytime Phone: Cell/Other:


Name: Title:
Daytime Phone: Cell/Other:

Has the firm or any of its principals previously applied for an account with Anchor Distributors? Yes No
If yes, please list name and complete address of previous account:
Has the firm or any of its principals ever filed for bankruptcy?  Yes  No
If yes, please explain:
Payment Preference: Business Check Money Order Credit Card
Debit Card C.O.D. Wire
Term Account with requested Credit Limit: $

References:

Company Name: Account # Credit Line:
Phone: Fax: Date Established (mm-dd-yyyy): 
Company Name: Account # Credit Line:
Phone: Fax: Date Established (mm-dd-yyyy):


 

All answers are true and correct to the best of my/our knowledge.  By selecting "I AGREE" below, I/we attest to the financial solvency, ability, and willingness to pay all obligations as they come due. Authority is hereby given to trade/bank references allowing the release of credit history to Anchor Distributors.

I AGREE *