Credit Application

SFS Group USA, Inc.
1045 Spring Street
PO Box 6326
Wyomissing, PA 19610

Phone: (610) 376-5751

This Credit Application applies to U.S. only.


Credit Application Form

* indicates a required field

Company Name

Company Name*
Your Name*
Your Title*

Mailing Address

Mailing Address*
City*
State*
Postal Code*

Street Address

Company Information

Phone Number*
Email Address*
Years in Business*
Is Company Tax Exempt?*
Type of Business*
State of Incorporation
Year of Incorporation

Principal Officers

Owner/President/CFO*
Phone Number*
Email Address*
Accounts Payable*
Phone Number*
Email Address*

Bank Reference

Bank Name*
Account Numbers
Bank Contact Name*
Phone Number*
Email Address*

Trade References

Please provide three business references.

Company Name*
City*
State*
Contact Name*
Phone Number*
Email Address*
Company Name*
City*
State*
Contact Name*
Phone Number*
Email Address*
Company Name*
City*
State*
Contact Name*
Phone Number*
Email Address*

Credit Terms: Net 30 Days

Authorized Acknowledgement*
Please check the box above and enter your initials to serve as your electronic signature. Doing so indicates you have authority to do so and are responsible for the company’s adherence to the credit terms.

Blanket Resale Certificate

Does your company have a Blanket Resale Certificate(s)?*

If you are having trouble with this form, please call (610) 790-2663 or email sfsusacredit@sfsintec.biz.