sales@louisagreen.com

Trusted for Competitive Pricing,
Personal Attention, and Fast Service.

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

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