Become a customer. Please download the form here. Once completed and signed, email the attachment directly to email@example.com. If you have any questions regarding the application process or our credit policy, contact us at 289-304-2012. Application Type CreditCOD Company Information Ownership Information Principal Owners -+ Accounts Payable Contact Business Details Nature of BusinessProprietorshipPartnershipCorporation Purchase Orders Required for All Orders?YesNo Job Tag Required for All orders?YesNo Bank Reference Information Trade Reference Information Must be industry related with comparable credit requirements. (No charge cards, gas cards, etc.) References Preferred Billing Method Choose OneEmailMail Personal Guarantee Based on your type of business, this section may be required In consideration for Next Plumbing and Hydronics Supply Inc. extending credit to the business identified below for any materials and/or services at the request of applicants or its agents, the undersigned individual hereby personally guarantees, unconditionally and irrevocably, the prompt payment of allsums now or hereafter owed to Next Plumbing and Hydronics Supply Inc. by the business whether said sums are due under open account, contract or otherwise. Guarantor #1 Guarantor #2 (if applicable) Has this company or any of its applicatns ever filed for bankruptcy protection? Choose OneYesNo By signing below the applicant represents that he/she has the authority to execute this credit agreement on behalf of the named business and that all information provided is true and correct. Applicant hereby agrees with the Creditor/Vendor (Next Plumbing and Hydronics Supply Inc.) to the terms and conditions of this Credit Agreement as stated above. I’ve read and accept the terms and conditions of this Credit Agreement Yes, I'd like to receive email updates on events, training, and promotions from NEXT.