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Credit Application

Complete the form below to apply for a credit account with WarmlyYours. Our Accounting team will evaluate your application and contact you shortly.

1
Company & Address
2
Business Info
3
Contacts
4
References & Bank
5
Review & Sign
Company Name
Mailing Address
Billing Address
Business Details
Total company revenue per year
Retail, showroom, or warehouse locations
Approximate number of radiant floor projects sold annually
Tax & Legal
US: Federal ID Number. Canada: HST/GST Number.
Merchandise for resale? *
To qualify for tax exemption, please fill out form CRT61 and fax it to (800) 408-1100.
Do you have a parent company? *
Primary Contact
President / Owner
Purchasing Agent
Accounts Payable Contact
Trade Reference #1
Trade Reference #2
Trade Reference #3
Bank Details
Certification & Signature