Credit Application

Companies, Universities, & Municipalities only!

Please fill out this form entirely. We will review your request and get back to you within 5 business days.

Company Information

Company Name:*
Website:
Contact Name:*
Enter the Primary Contact person (please include First & Last name).
Email Address*
Billing Address 1:*
Billing Address 2:*
Billing Address 3:
Billing City:*
Billing State:*
Billing Zip Code:*
Primary Phone Number:*
Shipping Address 1:*
Shipping Address 2:*
Shipping Address 3:
Shipping City:*
Shipping State:*
Shipping Zip Code:*
Ship to Contact Name:*
Enter the Primary Contact person for shipping/receiving (please include First & Last name).
Ship to Phone Number:*
Type of Business:*

Bank Information

Bank Name:*
Bank Address:*
Contact Person for your account:*
Checking Account Number:*

Purchase Information:

Purshase Order # Required?*
Yes
No
Purchases Tax Exempt?*
Yes
No
Accounts Payable Contact*
Accounts Payable Phone Number:*
Federal ID EIN #:*
Sales Tax Exemp #:
Enter your Sales Tax Exempt #:
(if applicable)

Trade References

Trade Reference 1:*
Enter Company Name, Contact, Address, Phone, Fax, & Account # for this trade reference
Trade Reference 2:*
Enter Company Name, Contact, Address, Phone, Fax, & Account # for this trade reference
Trade Reference 3:*
Enter Company Name, Contact, Address, Phone, Fax, & Account # for this trade reference

Agreement

Agreement*
By checking the box below you agree to the following:
  1. That you are authorized to release the information contained in this form.
  2. I/We authorize the above listed references to release credit information concerning our account.
  3. I/We agree to conform to the published terms of the Vendor and to pay all collection expenses incurred by the Vendor in collecting past due amounts.
  4. You authorize us to contact your bank & trade references listed about your credit history.
Check Here

Additional Information

Additional Information:
Any additional information you feel we may need can be faxed to 812-925-7746
Please check the box below if you are sending Additional information
Yes
Order Online - it's Fast, Easy & Secure!

Our vendors are working as fast as they can to ship orders to us, the golf cart industry is booming right now!  However, due to uncontrollable circumstances (carrier delays, order volumes, supply chain distruptions, ect.) orders are taking longer than normal.
As we continue to work through this we are shipping orders as fast as we can however, delivery times may be longer than usual. 

Please be patient and keep an eye on your email for tracking information! 
Thank you for your patience, be safe and stay healthy!

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