Credit application

Credit Application

There are two options below for submitting your credit application. Either download the PDF version and send by fax or mail or use the online form and submit directly to our accounting department. The PDF application can be faxed to (502) 456-2837. Account status will be available within 3 business days of receiving your credit application. Thank you for choosing Air Hydro Power, Inc.

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Credit Application On-line Form
Company Name:*
Business Type:*
If Other Business Type - specify:
Years in Business*
Number of Employees:
NAICS Code:
Nature of Business*
Federal ID:*
Amount of Credit Requested:*
How did you hear about our company?*
Officer Name:
Title:
Email:
Officer Name:
Title:
Email
Accounting Contact Name:
Telephone:
Fax:
Email
Purchasing Contact Name:
Telephone:
Fax:
Email:
Sales Tax Exempt?*
(If yes, please mail exemption certificate)
How do you want to receive your invoices?
Billing Address
Street or P.O.Box:*
City:*
State:*
Zip:*
County:*
Telephone:*
Fax:
Shipping Address (If Different than Billing Address)
Street Address:
City:
State:
Zip:
County:
Telephone:
Fax:
Trade References
Company Name:
Street Address:
City:
State:
Zip:
Contact Name:
Telephone:
Fax:
Company Name:
Street Address:
City:
State:
Zip:
Contact Name:
Telephone:
Fax:
Company Name:
Street Address:
City:
State:
Zip:
Contact Name:
Telephone:
Fax:
Bank References
Bank Name:
Street Address:
City:
State:
Zip:
Contact Name:
Telephone:
Fax:
Information Provided By:
Name:*
Title:*
Email:*
Terms & Conditions:
I acknowledge that by clicking the submit button below, I am accepting the Air Hydro Power terms & conditions
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Call 800-292-1672

Credit Application

Credit Application On-line Form

Billing Address

Shipping Address (If Different than Billing Address)

Trade References

Bank References

Information Provided By: