Credit Application Form

Please complete this form to apply for net terms with Wild Eye Designs.

Your credit references will be contacted.

In order to retain your net terms, you must place a minimum of 2 orders per calendar year and be in good standing to retain net terms.

Step 1 of 4

Company Information
Company Name*
Federal Tax ID
State Tax ID
Accounts Payable Contact*
First Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Fax

Vendor References
3 required
First Reference
Company Name*
Customer Number (if applicable)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone
Fax

Second Reference
Company Name*
Customer Number (if applicable)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone
Fax

Third Reference
Company Name*
Customer Number (if applicable)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone
Fax

×

Existing Customer Login

Reset Password

Looking to sell Wild Eye products?

Fill out an application to register for an online wholesale account and become a retailer.

With your wholesale account you can:

see the whole catalog
download our newest catalogs
place an order 24/7

Note: Valid resale tax ID required. Subject to terms & conditions.

Step 1 of 2

Email*
Password*
Enter Password Confirm Password

Company Name*
Store Type*
Please let us know the type of business you have.
Website
If you have a web based or online business please provide your website here.
Website
If you have a web based or online business please provide your website here.
Tax ID*
Reminder: You must sell to the public.
Contact Name*
First Last
Phone*
Fax
Address*
Please enter your business address here.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Terms & Conditions*
- I Agree to the Terms & Conditions
Please read our terms and conditions