sales@louisagreen.com

Credit Application

We are pleased to offer Net-30 terms to our commercial customers after a credit check.
We request one bank and three trade references.
If you have a prepared company credit information sheet, please fax it to us at (413) 664-8410
You may download a credit application form here. Or you may request a form by phone (800-225-3577) or email (sales@louisagreen.com). We will mail or fax a form back to you. That form can then be submitted by return mail or fax.

Or, you may submit your company credit information using the electronic form below:

CREDIT APPLICATION

Company Name

Year Established

Accounts Payable Contact

Full Address

Phone Number

Fax

Your Email

URL

Bank Reference:

First and Last Name

Bank

Telephone

Fax

(1) Trade Reference

First and Last Name

Title

Organization

Work Phone

Fax

(2) Trade Reference

First and Last Name

Title

Organization

Work Phone

Fax

(3) Trade Reference

First and Last Name

Title

Organization

Work Phone

Fax