Application for Credit

Prospective Credit Customer, Here at Curbco our Mission is to take the Hassle and Risk out of the HVAC retrofit business! We don’t want the credit application process to be a hassle, but without both accurate and current information, this process can take up to several weeks. Help us Help you!

Sincerely, Curbco Credit Manager

Application for Credit

Prospective Credit Customer, Here at Curbco our Mission is to take the Hassle and Risk out of the HVAC retrofit business! We don't want the credit application process to be a hassle, but without both accurate and current information, this process can take up to several weeks. Help us Help you! Sincerely, Credit Manager Curbco

Step 1 of 4

Contact Name*
First Last
Contact Phone*
Contact Email*
Business Information
Business Name*

Please include any DBAs that may help us
Business Website*
Are you an installer of the products you will buy from us?
Who is your customer
Type of Business*
Federal Tax ID Number*
Business Structure*
Years in Business
Business Address*
Street Address City State ZIP Code

We need a physical address
Business Owner Name*
First Last
Business Owner Title*
Business Owner's Phone*

Trade Reference Section
1st Trade Reference Company Name*

All Trade References will be contacted, please provide both accurate and current information, please!
1st Trade Reference Contact Name*
First Last
All Trade References will be contacted, please provide both accurate and current information, please!
1st Contact Email*
1st Contact Phone*
2nd Trade Reference Company Name*

All Trade References will be contacted, please provide both accurate and current information, please!
2nd Trade Contact Name*
First Last
All Trade References will be contacted, please provide both accurate and current information, please!
2nd Contact Email*
2nd Contact Phone*
3rd Trade Reference Company Name*

All Trade References will be contacted, please provide both accurate and current information, please!
3rd Trade Contact Name*
First Last
All Trade References will be contacted, please provide both accurate and current information, please!
3rd Contact Email*
3rd Contact Phone*
4th Trade Company Name*
4th Trade Contact Name*
First Last
All Trade References will be contacted, please provide both accurate and current information, please!
4th Trade Contact Email*
4th Trade Contact Phone*
5th Trade Company Name*
5th Trade Contact Name*
First Last
All Trade References will be contacted, please provide both accurate and current information, please!
5th Trade Contact Email*
5th Trade Contact Phone*
Notice of*
- You have my Authority
I/We authorize Curbco LLC, and/or its affiliates, to investigate my/our credit history. I/We understand that Curbco LLC reserves the unconditional right to deny credit terms if my/our credit does not meet Curbco LLC's standards!
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