Credit Application

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Or Fill out our online form

Credit Application

An incomplete form CANNOT be processed, all fields must be filled in. The following information must be completed in full and will be held in the strictest of confidence.

Billing Information
Name*
FirstLast
Name of Parent Co./Mgmt Co. *
(If applicable)
Billing Address*
Street AddressCityState / Province / RegionZip / Postal CodeCountry
Billing County*
Name of Accounts Payable Manager*
Phone #
Fax
Shipping Information
If different than billing adress
Are the Billing and Shipping address the same?*
- Yes
- No
Shipping Address*
Street AddressCityState / Province / RegionZip / Postal CodeCountry
Shipping County*
Number of Apartment/Housing Units
Ownership
Name - Principal Owners*
FirstLast
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone *
Fax*
Number of years in business*
Sales Tax Exempt*
- Yes
- No
Credit Amount Requesting*
In dollars $
Bank Reference
Name*
FirstLast
Address*
Street AddressCityState / Province / RegionZip / Postal CodeCountry
Account #*
Phone #*
Fax #*
Trade References (please supply three)
Trade Reference #1 Name*
Account #*
Phone #*
Fax #
Address*
Street AddressCityState / Province / RegionZip / Postal CodeCountry
Trade Reference #2 Name*
Account #*
Phone #*
Fax #
Address*
Street AddressCityState / Province / RegionZip / Postal CodeCountry
Trade Reference #3 Name*
Account #*
Phone #*
Fax #
Address*
Street AddressCityState / Province / RegionZip / Postal CodeCountry

Tradeshows

Surplus Center

Web Specials

News & Events

Our company has been in business for over 30 years as a specialized wholesale appliance repair parts distributor. We have a large inventory of major appliance parts as well as heating repair parts, plumbing and electrical supplies, and smoke alarms. We are business to business only. PDQ sells exclusively to public and Indian housing authorities, military installations, management companies, apartments, colleges, universities and authorized appliance and HVAC dealers nationwide.