RECO Credit Application Form

By completing the RECO Credit Application, you open the door to convenience and savings.

You can fill out and submit the electronic form below, or you may also download the PDF version and fax in your application.

 

Online Credit Application Form


Name:

Invoice Address: City:
State: ZIP:

Shipping Address:   City:
State:   ZIP:

Phone:
Email:
Type of Business:

Bank Name:
Address:   City:
State:   ZIP:
Phone:
Account #:

List Three References

1. Name:    
  Address:   City:
  State:   ZIP:
  Phone:   Fax:
     
2. Name:    
  Address:   City:
  State:   ZIP:
  Phone:   Fax:
     
3. Name:    
  Address:   City:
  State:   ZIP:
  Phone:   Fax:
     

Are you listed on DUNN & BRADSTREET: Yes No  
D&B Number:

If purchases from our company are tax exempt, please send a sales tax exemption certificate with your application for credit. The certificate must state the reason for exemption, signed and dated.

Signature: I attest that the information I have provided is current and accurate.
Security: The transmission of the Credit Application is via an unsecured server.   To continue please check this box, or you can print out and fax the Credit Application to 513.718.1802
  (The 2 boxes above must be checked)