Commercial Credit Program

Net 30 Commercial
Credit Application

Complete this application to open a Net 30 trade account with Syntrix Supply LLC. Applications are reviewed within one (1) business day. Approved accounts receive invoiced billing on standard Net 30 terms.

1‑Business‑Day Review

Soft Commercial Pull

Net‑30 Terms

ACH or Credit Card

Section 1 of 4 — Corporate Entity Details

Legal Business Name *

DBA (if any)

Federal Tax ID / EIN *

Entity Type *

Years in Business *

Annual Procurement Volume *

Street Address *

City *

State *

ZIP *

Business Phone *

Company Website

Section 2 of 4 — Accounts Payable Protocol

Important: All invoices will be sent to the AP routing email below.

AP Contact Name *

AP Title

AP Routing Email *

AP Direct Phone *

Invoicing Method *

PO Required?

Section 3 of 4 — Trade References

Provide three active trade references from industrial distributors. First two are required; third is optional.

Trade Reference 1 *

Company name

Contact name

Phone

Your account number

Trade Reference 2 *

Company name

Contact name

Phone

Your account number

Trade Reference 3 (optional)

Company name

Contact name

Phone

Your account number

Section 4 of 4 — Legal Authorization

Commercial Credit Authorization
I certify that all information is accurate. I authorize Syntrix Supply LLC to verify trade references, obtain commercial credit reports, and retain this data for up to 7 years. This electronic submission is legally binding under ESIGN and UETA.

Authorized signatory name *

Title *

Digital signature (type name) *

Date *

I confirm that I am an authorized representative and agree to the credit verification terms. *

Encrypted transmission. Decision emailed to AP routing address within 1 business day.

Net 30 CommercialCredit Application

Net 30 Commercial
Credit Application