Credit Application

Bender Inc. Credit Application

Thank you for your interest in establishing credit with Bender Electronics. In order for us to proceed with your request as quickly as possible, we ask for the following:

  1. Complete all sections of the credit application.
  2. Attach any applicable Resale Tax Exemption Certificates.
  3. Trade references on company letterhead are accepted, however, must accompany this credit application with sections 1 and 2 completed.
  4. Delay in the completion of the credit application could delay shipping.

Section 1: Business Contact Information

This field is mandatory.
This field is mandatory.
This field is mandatory.
This field is mandatory.
Mandatory, must be a valid email address.
Mandatory, valid phone number.

Section 2: Business Information

Please select at least one option.
Please select at least one option.
This field is mandatory.
If exempt, include a signed copy of state sales tax exempt/resale certificate after submitting this form.
This field is mandatory.
This field is mandatory.
This field is mandatory.
This field is mandatory.
Mandatory, must be a valid email address.

Section 3: Bank Information

This field is mandatory.
Mandatory, must be a valid email address.
This field is mandatory.
Mandatory, valid phone number.
This field is mandatory.

Section 4: Business/Trade Reference

COMPANY 1

This field is mandatory.
Mandatory, must be a valid email address.
Mandatory, valid phone number.
This field is mandatory.
This field is mandatory.
This field is mandatory.

COMPANY 2

This field is mandatory.
Mandatory, must be a valid email address.
Mandatory, valid phone number.
This field is mandatory.
This field is mandatory.
This field is mandatory.

Agreement Upon Credit Approval

1. All invoices are to be paid 30 days from the date of the invoice upon approval of credit references unless otherwise agreed in writing by Bender.

2. Shipping terms are FOB Exton, PA unless otherwise agreed in writing by Bender.

3. By submitting this application, you authorize Bender Electronics, Inc. to make inquiries into the banking and business/trade references that you have supplied.

4. Please allow 24-48 business hours for completion of credit terms to be determined.

Authorized Customer Signature

This field is mandatory.
This field is mandatory.
This field is mandatory.

Bender needs the contact information you provide to us to contact you about our products and services. You may unsubscribe from these communications at any time. For information on how to unsubscribe, as well as our privacy practices and commitment to protecting your privacy, please review our data protection declaration.