Business Information

Legal Business Name *

DBA (if applicable)

Business Type *

Federal EIN *

Years in Business *

Website

Addresses

Physical Address *

City *

State *

Zip *

Billing address same as physical

Billing Address

City

State

Zip

Contacts

Primary Contact Name *

Email *

Phone *

AP Contact Name *

AP Email *

AP Phone *

Credit Request

Requested Credit Limit *

Intended Monthly Spend *

Primary Products Purchased

Scenic Paints
Industrial Coatings
Decorative Finishes
Sign Paints

Trade References

Company Name *

Contact Name

Contact Email *

Contact Phone *

Terms *

Company Name *

Contact Name

Contact Email *

Contact Phone *

Terms *

Company Name *

Contact Name

Contact Email *

Contact Phone *

Terms *

Bank Reference

Bank Name

Branch / City

Account Type

Terms Agreement & Authorization

“I authorize Star Scenic to verify the information provided and to obtain business credit references for the purpose of extending credit.”

Title / Role (Owner, Officer, Authorized Agent) *

Authorized Signer – Full Legal Name *

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Credit Application

Business Information

Addresses

Contacts

Credit Request

Trade References

Bank Reference

Terms Agreement & Authorization

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