Need help? 1-877-577-7004 login Credit Application Print / pdf Please allow up to 48 hours for processing. Owner Company Name Email Phone # Alt. Phone # Fax # (optional) Primary Warehouse (required) Select a Warehouse Vadnais Heights, MN Sioux Falls, SD Waterloo, IA Green Bay, WI Duluth, MN Eagan, MN Coon Rapids, MN St. Paul, MN Urbandale, IA Fargo, ND Omaha, NE Lenexa, KS Denver, CO Brookfield, WI Lee's Summit, MO Dallas, TX Center Line, MI Address Line 1 Address Line 2 City State AL AK AZ AR CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zipcode Do you use more than one shipping address? Yes No Payment Type (required) pay per invoice credit line Sales Tax # Type of Business Annual Gross Sales Estimate of Purchases (per month) Do you use purchase order numbers? Yes No Will you be doing warranty work? Yes No References (Please include one bank reference) Reference One (required) Name Phone # Fax # Address Note Reference Two Name Phone # Fax # Address Note Reference Three Name Phone # Fax # Address Note Electronic Signature Please type your full name By clicking submit, you agree to Dey Distributing's Credit Agreement Terms and Conditions as listed below. Dey Distributing is here to serve you! As a dealer, you need to buy parts all the time. To make that experience as smooth as possible, we've built a website based on your needs and suggestions. To gain access to our great prices, parts databases, and monthly and weekly deals, we need the above credit form on file for each company. Then, you are ready to sign up as a new web user. Alternatively, you can call our Vadnais Heights location (1-800-397-1339) and ask a representative for assistance, email us at support@deydistributing.com, or download a printable version of the credit application. CREDIT AGREEMENT TERMS & CONDITIONS The parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility. Upon Company being approved by Dey, the following terms shall be applicable to the parties' relationship. The net balance of all invoices shall be due on the 15th of the next month following the invoice date. Any past due amount shall be subject to a service charge of 1.5% per month. The Company shall be responsible for all service and finance charges, and all attorney fees and costs associated with the collection of all amounts due however. The owner(s) hereby personally guarantee the prompt and complete payment of all amounts due Dey under this Agreement, including all past due balances, service charges, attorney's fees and costs, and other costs of collection related thereto. Dey reserves the sole and exclusive right to change the terms of their credit policy and the terms and conditions of this Agreement at any time without notice to Applicant. Our Story | Website Use | Locations | Contact Us All site contents Copyright © 2021 Dey Distributing Send feedback