Customer Credit Application

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If you’d like to establish credit terms with The Fredericks Company, we require customers to complete our Customer Credit Application Form. This form is crucial in setting up a credit account with The Fredericks Company. By providing the necessary information, you help us better understand your business, enabling us to offer you credit terms.

The information gathered in this application is kept strictly confidential and used solely to evaluate and manage your credit account.

Please take a few moments to fill out the form accurately and completely. Once submitted, our accounting department will review your application promptly and notify you of the credit terms we can offer your business.

If you have any questions or need assistance, contact us at accounting@frederickscompany.com or +1 215 947 2500.

Step 1 of 3 – Company Applicant Information

Company Applicant Information

Billing Address

Company Applicant Information - Billing Address(Required)

Shipping Address

Company Applicant Information - Shipping Address

Ownership

Ownership(Required)

Taxable

Tax Exempt Status(Required)

Individual Contact Information for Application

Major Trade References

Please include company fax numbers to avoid any delay in processing your application

Company 1

Company 2

Company 3

Company 4