Customer Information - Credit Application

Company Infomation

Trade References

Registered Name of Business

Tax ID Number

(required)

Division/Subsidiary, Name of Parent Company

In Business Since

Type of Business

Legal Form Under Which Business Operates

(required)

Corporation

Partnership

Proprietorship

LLC

Fax

Phone

Primary Contact

(required)

Title

(required)

Billing Address

(required)

Shipping Address

(required)

Parts Manager Contact / Email

(required)

Accounts Payable Contact / Email

(required)

Company 1

Company Name

(required)

Phone

(required)

Accounts Receivable Contact

Fax/ Email

(required)

Address

(required)

Account Open Since

Credit Limit

Current Balance

Company 2

Company Name

(required)

Phone

(required)

Accounts Receivable Contact

Fax/ Email

(required)

Address

(required)

Account Open Since

Credit Limit

Current Balance

Company 3

Company Name

(required)

Phone

(required)

Accounts Receivable Contact

Fax/ Email

(required)

Address

(required)

Account Open Since

Credit Limit

Current Balance

Attach the Resale Certificate

(required)

Select File

Accounts Receivable Contact

Fax/ Email

(required)

I, as a distributor interested in selling Torque Parts products online, am required to complete the Torque Parts Online Sales Agreement. Upon the review and approval of the agreement, I must proceed to distribute these parts, ensuring they are listed separately under my own listings. It is imperative that I refrain from posting my listing under any existing listings of Torque Parts distributors across any platform.
I acknowledge that Torque Parts LLC reserves the right to halt the sale of all products to me if I sell Torque products under an existing listing of another distributor and fail to comply with the clauses outlined in the Online Sales Agreement.

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended.

Air Compressors

Air Dryers and Parts

Gladhands and Handle Grips

Height Leveling Control Valves

Valves

Cabin Air Filters

Engine Air Filters

Additional Filters

Air Springs by Vehicle Brand

Air Springs by Category

Body Parts by Truck Brand

Body Parts by Category

Brake Chambers

Service Chambers

Angled Mud Flap Hangers

Straight Mud Flap Hangers

Quarter Fenders

Brake Hubs

Hub Caps

Truck Wheel Hub Seal Installer Kit

Wheel Bearings

Wheel Seals

Customer Information - Credit Application

Locations

Quick Links

My account

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Customer Information - Credit Application