Credit Application 
Please fill this form out to apply for credit.
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Email *
Business Name  *
In business since _____  *
Type of business  *
Billing Contact Name  *
Sales Contact Name(s) 

(optional, if you would like to designate who can order parts on the account)
Preferred Phone Number *
Sales email 
Billing email 
Billing Address *
Shipping Address (if different)
Recycling reference #1 - please include business & contact name, email and how long you have been ordering from them!  *
Recycling reference #2 -  please include business & contact name, email and how long you have been ordering from them!  *
Recycling reference #3 -  please include business & contact name, email and how long you have been ordering from them!  *
Agreement: 
1. All invoices are to be paid before the end of the following month. For example, invoices dated in January must be paid within February.
2. Any accounts past due (by even one day) will be placed on COD until resolved. Accounts past due by 60 days will have credit revoked.
3. Claims arising from invoices should be made within ten working days. It is your responsibility to contact us with any issues!
4. By submitting this application, you authorize Pete’s Auto Parts to make inquiries into the business/trade references that you have supplied.
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Required
Please write your name in the text below to sign. *
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