Business Term Application Form Business Term Agreement Application Please fill out the form below which will authorize your account to be setup under term agreement, meaning, you can now use the Purchase Order Option on our website and pay by check. Upon approval your account will be created and applied automatically. Business Name:*Doing Business As (DBA):Company Website*Number of Employees*Qualifying accounts must have at least 5 employees. FEIN*Email* Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Do you have an Accounts Payable Department?*YesNoQualifying applicants must have an accounts payable department. The accounts payable department cannot be the same person as the owner or manager, and must be it's own department entity.Accounts Payable Contact Name:*Accounts Payable Email:*Accounts Payable Phone*Type of Business*Sole ProprietorCorporationLLCPartnershipYear Business Established*Qualifying accounts must be in business for at least 3 years. Annual Gross Sales Revenue*Annual Gross Revenue must be over $350,000Printing Annual Approximate Budget*Front of Voided Check UploadPlease upload the front of a voided check here.