CREDIT INFORMATION

 

Credit is extended only to qualifying retailers and appropriate resellers or users of our products.

Simply fill out this convenient email form and press the Submit button. We'll call you to confirm your open credit status. If you'd rather give us this information over the phone, please call: 800-327-9435. Or you can print this page with your browser "Print" command, then FAX it to: 815-439-1589
 
Retail: Wholesale: First Name:
Last Name:
Store/Business Name: Street Address:
City:
 State:
Zip:
Phone:
FAX:
Email:
Your Web Site: (Optional) Years in Business:
Credit Rating with:
Dun & Brad: Lyon's:

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