Credit Application CCS

  • Credit Application for Central City Supply

    If you are interested in opening a credit account with us, please fill out this form completely. We can be reached at 315-466-6113 between 8am to 4pm EST Monday-Friday. We will respond to your request within three business days via phone or email.
  • MM slash DD slash YYYY
  • Officer/Principal (1) Information

  • Officer/Principal (2) Information

  • Financial Information

  • Trade Reference 1

  • Trade Reference 2

  • Additional Details

  • Please enter the first and last name of individuals you authorize to charge against your account. Please note, it is your responsibility to notify Central City Supply in the event this information changes.
  • Drop files here or
    Accepted file types: pdf, jpg, Max. file size: 2 GB, Max. files: 3.
      Yes! I'd like to receive occasional sales promotions and event information via email and/or text messages from Schmidt's Wholesale.
    • Agreement

      1. Terms of Sale are as follows: Net 10th Prox. All invoices are due on or before the 10th of the month following the month of purchase. Past due invoices are subject to a 2% Monthly Service Charge, and if not paid within the following 30 days, may result in a closed account. A charge of 20% will be made for material accepted for return without original billing invoice. 2. We are the principals in the above business and each of us hereby personally and unconditionally guarantees any obligation of the company, both jointly and severally. We agree that we are primarily responsible and that you have the right to sue us in the event this matter is turned over to an attorney for collection, we agree to pay all costs and disbursements of collection, service charges, legal fees calculated at the rate of 1/3 of any amount due, whether or not suit is actually instituted, and any other expense which we incur as a result of attempting to collect. We also agree to the terms of the sale and waive notification of any amendment to the sales agreement. This guarantee is made in order to induce you to do business with the company named above. 3. We authorize the use of Consumer Credit Reports for the purpose of credit evaluations. 4. We understand by submitting this form, we are agreeing to the terms and conditions listed above.

    Breakout Signups

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    Attendee's Name(Required)
    *Manufacturers require individual email addresses in order to obtain credit and certifications. Please use the email associated with the attendee and not your company email address.
    AM Sessions(Required)
    PM Sessions(Required)
    Breakout Sessions