Credit Application

If you're a trade customer and would like to apply for credit with WarmlyYours then please complete the form below in full and submit it. Our Accounting team will evaluate your application and contact you shortly.

Company Name and Address

Fields marked with (*) are required.

Billing Address
General Information
Tell us the name your company does business as, if different than the company name.
Please Note: To qualify for tax exemption, please fill out form CRT61 and fax it to (800) 408-1100.
US customers please provide your Federal ID Number, Canadian customers please provide your HST/GST Number.
If yes, please provide parent company name and location.
Primary Contact
10 digit phone number starting with area code.
10 digit phone number starting with area code.
President/Owner Contact Details
10 digit phone number starting with area code.
10 digit phone number starting with area code.
Purchasing Agent Contact Details
10 digit phone number starting with area code.
10 digit phone number starting with area code.
Accounts Payable Contact Details
10 digit phone number starting with area code.
10 digit phone number starting with area code.
Trade Reference # 1
Trade Reference # 2
Trade Reference # 3
Bank Details
Confirmation