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Brand Protection continues to be of the utmost importance for our company and our customers. We’ve spent the last several years building and rolling out processes to that end.

With that in mind, effective immediately, we’ve added Amazon to our Do Not Sell list.

Please make sure you frequently review the Authorized and Unauthorized Sellers on below to ensure your adherence to our Brand Protection Program. Selling to an Unauthorized Seller violates that program.

If you have any questions concerning selling online, please contact your relationship manager at 800.898.0705.

Thank you for your partnership and continued support of the SuperSprings International brand.

Credit Reference

Credit Referral
Please complete this form so we may determine the credit worthiness of this applicant.
Your Company Information
Company Name:*
Name*
First Middle Last
Referral information
Sold Since:
High Credit:
Date of Last Sale:
Example: 01/01/2019
A/R Balance:
A/R Info:
Current
1 of 4
1-30 days
2 of 4
31-60 days
3 of 4
Over 90
4 of 4
Total A/R
Sum of the last 4 questions
Terms
Percent:
Please enter a number from 0 to 100.
Days:
Net:
Discount:
Average Days to Pay:
Prompt:
Slow:
NSF Checks:
Comments

Customer Credit Application

Please provide company information, bank reference information, and four trade references.

Step 1 of 6

Company Information
Company Name*
Doing Business As (DBA)
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary Contact*
First Last
Phone
Email
Primary Contact Position/Title*
Shipping Address
If different from Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Type of Business*
- Proprietorship
- Partnership
- Corporation
Federal Tax Payer ID No.
Year Business Established*
Please enter a number from 0000 to 9999.
Resale No.
Attachments
Without a copy of your Tax Exemption Certificate your Customer Credit Application cannot be processed. You must attach a copy to continue with this form. Please attach below as a jpg, pdf, tif, png, or similar file type.
Tax Exemption Certificate
Maximum file(s) size = 20MB.
Accepted file types: jpg, txt, gif, png, pdf, tif, ai, psd, zip, eps, doc, docx.
Do you have a Resale Certificate for your state?*
- Yes
- No
- Not applicable
Resale Certificate*
Please follow all rules according to your state when submitting valid Resale Certificates. Maximum file(s) size = 20MB.
Accepted file types: jpg, txt, gif, png, pdf, tif, ai, psd, zip, eps, doc, docx.

Save and Continue Later

Bank Reference
Bank Name*
Account No.*
Bank Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Bank Contact
First Last
Bank Phone*
Bank Fax*

Save and Continue Later

Trade Reference #1
Reference #1 Company Name*
Reference #1 Phone*
Reference #1 Email*
Reference #1 Fax
Reference #1 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Save and Continue Later

Trade Reference #2
Reference #2 Company Name*
Reference #2 Phone*
Reference #2 Email*
Reference #2 Fax
Reference #2 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Save and Continue Later

Trade Reference #3
Reference #3 Company Name*
Reference #3 Phone*
Reference #3 Email*
Reference #3 Fax
Reference #3 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Save and Continue Later

Trade Reference #4
Reference #4 Company Name*
Reference #4 Phone*
Reference #4 Email*
Reference #4 Fax
Reference #4 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Save and Continue Later

Name*
First Last
Company Name
Title
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone

Company Name*
What type of customers do you work with?*
What type(s) of vehicles do you install products on?*
(check all that apply)
- Select All
- Recreational truck/car
- Commercial vehicles
- RV/Van/Motorhomes
- Trailer/Towables
- Jeep
- Overland
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Website*

Online Seller Request

Name*
First Last
Title*
Business Name*
Phone*
Website*
Email*
Where do you plan to sell?*
(Select one or both)
- Online (e.g. your website)
- Marketplaces (e.g. your eBay)

The event is finished.

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Time

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Your Items

Your Items

Your Items

YOUR ITEMS

Your Items

Your Items

Your Items

Credit Reference

Credit Referral

Your Company Information

Referral information

A/R Info:

Terms

Comments

Customer Credit Application

Step 1 of 6

Company Information

Attachments

Bank Reference

Trade Reference #1

Trade Reference #2

Trade Reference #3

Trade Reference #4

Online Seller Request

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The event is finished.

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