Woodstock Marketing Credit Application

Trade References (Please List 3)

Please be prepared to upload Resale certificate and Purchase Order(PO) {PO upload for Dealers applying for the first time}

Firm Name Principle Address: City

State

Zip

Phone

Fax

Entity Type

Individual Parntership Corporation

AP Contact Name

AP Phone

AP Email

Order Acknowledgment Email

EIN#

Business Start Date

Person Filling Out Form:

Title:

Trade Reference One:

Name:

Address:

City:

State:

Zip

Phone:

Fax:

Email:

Contact Name:

Trade Reference Two:

Name:

Address:

City:

State:

Zip

Phone:

Fax:

Email:

Contact Name:

Trade Reference Three:

Name:

Address:

City:

State:

Zip

Phone:

Fax:

Email:

Contact Name:

REQUIRED

Files for Resale certificate and Purchase order

Note: To select more than one file, hold down the 'Ctrl' key.
File size is limited to 5MB.
Accepted File Format(s): DOC, DOCX, GIF, JPG, JPEG, PDF, PNG

Woodstock Marketing Credit Application

Trade References (Please List 3)

Please be prepared to upload Resale certificate and Purchase Order(PO) {PO upload for Dealers applying for the first time}

Entity Type

REQUIRED

Please Sign Form

with mouse or touch

Please Click Submit Once