B2B Credit Account Application

B2B Credit Account Application — Form Fields

This business template includes 12 fields. Business customers apply for a net-30 or net-60 trade credit account with a supplier. Free to customize and use on ZenBuild.

• Company Legal Name (text, required)
• DBA (if applicable) (text, optional)
• Business Address (text, required)
• Tax ID / EIN (text, required)
• Accounts Payable Email (email, required)
• Phone Number (text, required)
• Business Type (dropdown selection, required) — options: LLC, Corporation, Partnership, Sole Proprietor, Non-Profit
• Years in Business (number, required)
• Annual Revenue ($) (number, required)
• Requested Credit Limit (dropdown selection, required) — options: $1, 000–$5, 000, $5, 001–$10, 000, $10, 001–$25, 000, $25, 001–$50, 000, Over $50, 000
• Trade Reference 1 (Company and Contact) (text, optional)
• Trade Reference 2 (Company and Contact) (text, optional)