APPLY FOR CREDIT

Please complete the form below and click submit. To confirm your request goes through, you should be forwarded to a Thank You page after you fill in the appropriate boxes.

Our payment terms are 1/2% 10 days, net 30 days. Please allow ample time for the credit approval process.

If you would like print this form or email a PDF version, download and print here.


 
Company Phone *
Company Phone
Name *
Name
Billing Address *
Billing Address
Shipping Address *
Shipping Address
AP Contact Phone *
AP Contact Phone
Buyer Phone *
Buyer Phone
May we email your invoices to your AP email address? *
Tax exempt? (If yes, please send PDF tax certification to accountingteam@neffpower.com) *
http://
Bank Address *
Bank Address
Bank Phone *
Bank Phone
Shipping Terms *
Carrier choice *
Default class of service *
Trade reference 1 phone # *
Trade reference 1 phone #
Trade reference 1 fax # *
Trade reference 1 fax #
Trade reference 2 phone # *
Trade reference 2 phone #
Trade reference 2 fax # *
Trade reference 2 fax #
Trade reference 3 phone # *
Trade reference 3 phone #
Trade reference 3 fax # *
Trade reference 3 fax #
Trade reference 4 phone # *
Trade reference 4 phone #
Trade reference 4 fax # *
Trade reference 4 fax #
Newsletter
How did you hear about us? *