Trade credit application

Apply for a Bay State trade account

Approved contractors get net-30 terms, dedicated counter support, and trade pricing. Fill this out from your phone in about five minutes — our credit team reviews within 1–2 business days.

Business

Business name

Street address

City

State

ZIP

Phone

Cell (optional)

Fax (optional)

Primary email

Secondary email (optional)

Entity type Corporation Partnership Sole proprietorship LLC

Date business started

Type of business

Monthly credit requested ($)

Incorporated year

State

Have you purchased from Bay State before? (when, account name)

Sales tax exempt

Sales-tax exemption certificate (PDF or photo, up to 10MB)

Required if you marked sales-tax exempt above. We can also collect this later by email.

Send invoices by fax instead of email

Owner / officer information

List up to two owners or officers. SSN will be collected by phone, not in this form.

Owner / officer 1

First name

Last name

Title

Home phone

Owner / officer 2 (optional)

First name

Last name

Title

Home phone

Trade references

Up to three suppliers you currently buy from on credit. We may call to verify.

Trade reference 1

Supplier name

Acct #

Address

ZIP

Phone

Fax

Trade reference 2 (optional)

Supplier name

Acct #

Address

ZIP

Phone

Fax

Trade reference 3 (optional)

Supplier name

Acct #

Address

ZIP

Phone

Fax

Bank references

Bank or credit union where you have a business account. Up to two.

Bank reference 1

Bank name

ZIP

Address

Phone

Account # / type

Contact

Bank reference 2 (optional)

Bank name

ZIP

Address

Phone

Account # / type

Contact

Agreement & signature

Terms & interest: I acknowledge and agree that interest at the rate of 1.5% per month will be charged on all balances remaining unpaid after 30 days from the date said amounts are incurred. In the event of default and referral to an attorney or collection agency, I agree to pay all costs of collection including reasonable attorney fees.

I have read and agree to the terms above.

Personal guarantee: In consideration for Bay State Plumbing & Heating Supply Co., Inc. selling merchandise on credit, the undersigned personally guarantees the full and prompt payment for all merchandise delivered, and further agrees to pay all costs of collection, including reasonable attorney fees.

I personally guarantee payment as described.

First name

Last name

Date

Your title

Typing your name above counts as your electronic signature.

Or call us: (413) 733-6696

Apply for a Bay State trade account

Your quote cart

Request sent — we’ll be in touch.