Credit Application
	* E-mail
	* Name
	* Street Address
	Street Address
	* City
	* State
	* Zip Code
	* Contact
	* Phone
	Fax

	Property Type
	Multihousing
		Apartment		Hotel		Condo		Housing Authority		Military Contractor

	Institutional
		Healthcare		Religious		School		Government		Military

	Commercial
		Office		Shopping		Manufacturing		Maintenance		Other

	Property ownership
	* Tax ID
	* Name
	* Street Address
	* City
	* State
	* Zip Code
	* Phone
	Fax

	* Check one
		Sole proprietorship		Limited partnership		Corporation		Limited liability		Partnership

* State

State

State

	Fee Managed
	Name
	Street Address
	City
	State
	Zip Code
	Phone
	Fax

	Check one
		Sole proprietorship		Limited partnership		Corporation		Limited liability		Partnership

State

State

State

	Billing Information
	Mail invoice to
		Property		Owner		Management company		Other

	Ship to
		Property		Owner		Management company		Other

	Specific Information
	Amount of credit desired
	Any special instructions
	Tax exempt #
	Do you accept backorders?
	PO number required?
	Number of units at property
	Monthly maintenance budget

	Trade References (services or utilities not accepted) Listing 3 trade references will expedite the processing of your application. We cannot guarantee approval of this application without references.
	Name
	Street Address
	City
	State
	Zip Code
	Phone
	Fax
	Name
	Street Address
	City
	State
	Zip Code
	Phone
	Fax
	Name
	Street Address
	City
	State
	Zip Code
	Phone
	Fax

* Indicates a required field

Please print this page, sign and mail to :

Wilmar
Attn:Credit Department
200 East Park Drive
Mt. Laurel, NJ 08054

Or Fax to : 1-800-482-6687



Enter a user name and password for logging in.

	Enter a user name and password for logging in.
	*User Name
	*Password
	*Re Enter Password