Twenty5

I want to apply for credit terms at the same time

Optional. You can open an account now and apply for terms later — but filling this in now is the fastest way to get set up, because it is the same information we would otherwise have to call you for.

Business details

Legal business nameTrading as (if different)

Business typeYear established

Federal Tax ID (EIN)State of incorporation

Number of employees

Credit requested

Credit line requestedIn dollars.Terms requested

Estimated monthly purchasesAccounts payable contact

Accounts payable emailWhere invoices should be sent.Accounts payable phone

Bank reference

We only need enough to call and confirm you are a customer in good standing. Please do not enter an account number.

Bank nameContact / branch

Bank phone

Trade references

Three suppliers who currently extend you credit.

Reference 1 — companyReference 1 — contact & phone

Reference 2 — companyReference 2 — contact & phone

Reference 3 — companyReference 3 — contact & phone

Sales tax

We are buying for resale and are tax exemptResale certificate number

Authorisation

I authorise Twenty5 Supply to contact the references above and to obtain a business credit report.Type your full name as signature

Your title

Open a trade account