Credit Application

Credit Application

Complete the credit application below. Required fields are marked *. LLCs and corporations must also complete the Personal Guarantee section.

Prefer paper? You can print the credit application (PDF), fill it out by hand and drop it off at either store — Dickson, 2403 Hwy 70 E, or Waverly, 1035 W. Main St. Questions on any of it, call 615-446-2895.
Your information is protected. This form is submitted over a secure (HTTPS) connection, and Social Security numbers are encrypted before they ever leave the server — they are never stored or emailed in plain text.
Applicant

Encrypted on submission

Business Firm — Owners (SSN required)
Credit & Bank
Trade References (email required for processing)
Signature
Personal Guarantee of Payment (LLCs & corporations must complete)