- Download the form
- Print it out and fill it in.
- Fax it back.
Simply complete the form below and press the "Submit" button
(all fields must be filled in).
To extend a proper line of credit, we are requesting that you list below the names of three references as well as your banking facility. Also make sure that you provide your full company name and address. If your company is tax exempt, please fax over the resale certificate.