Apply for a Net 30 Account — Scot's Supply Co.

📞 319-235-9620 📍 814 Ansborough Ave. · Waterloo, Iowa Home Shop About Us Open an Account Contact Us Track Order Help

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Apply for a Net 30 Account

Everything on the paper application, online. Takes about five minutes. Have your bank and two or three trade references handy.

Terms are Net 30 with a 1.5% finance charge on past due balances. We take cash, check, Visa, MasterCard and Discover, and we reserve the right to move a delinquent account to COD. If your company qualifies for Iowa sales tax exemption, tick the box below and we will ask for your certificate.

Company information

Company name

State Tax ID #

Year established

Billing address

Suite / unit

County

City

State

ZIP

Company phone

Nature of business

Business type

Do your orders need a PO number? Yes, POs are required

Name of owner

Name of buyer

Invoicing and accounts payable

Send invoices by

Invoice delivery email

AP contact

AP email

Sales tax We are tax exempt

Shipping address, if different

Shipping address

County

Phone

City

State

ZIP

Email

Credit

Desired credit limit ($)

Bank reference

Bank name

Officer's name

Address

City

State

ZIP

Phone

Email

Trade reference 1 (open accounts only)

Company

AR email

Address

City

State

ZIP

Phone

Trade reference 2 (open accounts only)

Company

AR email

Address

City

State

ZIP

Phone

Trade reference 3 (open accounts only)

Company

AR email

Address

City

State

ZIP

Phone

Who is filling this out

Your name

Your title

Email

Phone

Anything else we should know

Authorization

By signing you authorize Scot's Supply Co. to obtain information from the bank and trade references listed above to determine credit merit and limit. You also agree to the payment terms and to pay all accrued service charges.

Print name

I am authorized to sign for this company and I agree to the terms above.

Questions? Call 319-235-9620 or email toni@scotssupply.com.