Credit Application

Complete the form below for a direct account with WeatherTech. If you have any questions please email [email protected] .

*indicates required fields

Step 1: Main Contact

Billing Information

Firm Name

DBA

Billing Address

City

State

Zip

Phone

Fax

Shipping Information

Shipping Address

City

State

Zip

Phone

Fax

Step 2: Business Details

Principal Business

Date Started

Building Owned

Yes No

Building Value

Mortgage/Lease Payments

Total Sales

Insurance Carrier

Resale Tax ID #

Step 3: Ownership

Proprietorship Partnership Corporation Subsidiary

Owner Name

Position

Address

Phone

Fax

Owner Name

Position

Address

Phone

Fax

Owner Name

Position

Address

Phone

Fax

Bank Information

Accounts Payable Name

Bank Name

Bank Contact

Bank Address

Bank City

Bank State

Bank ZIP

Bank Account No

Dunn & Bradstreet No

Credit Limit Requested

Step 4: Trade References

Company

Contact

Phone

Address

City

State

Zip

Company

Contact

Phone

Address

City

State

Zip

Company

Contact

Phone

Address

City

State

Zip

Step 5: Alternative Payment

Card Number

Expiration Month

Expiration Year

By pressing submit I (we) agree to the following:

That a Representative of WeatherTech Direct, LLC may contact any persons named above for verification of facts and payments of funds.
That I (we) make sure that above terms are complied with and that I (we) will notify you immediately of any changes of the above facts.
That I (we) will pay LATE CHARGE of 1 1/2% (which is 18% ANNUAL PERCENTAGE RATE) on the unpaid balance of my (our) account on first of each month if payment has not been made in accordance with the terms of the invoice.
That all invoices will be paid within the terms indicated to prevent termination of credit.

DEFAULTS: In the event of default or non-payment purchaser agrees to pay all costs incident to collection, including but not limited to reasonable attorney's fees, cost of collection, and court costs. This contract is made in the State of Illinois. The buyer by placing an order agrees to submit to the jurisdiction of the courts of the State of Illinois, Dupage County, and that the laws of the State of Illinois shall apply.

The representations made herein are correct to the best of my knowledge and I understand this application may be rejected or credit revoked by WeatherTech Direct, LLC at any time if the actual facts are found to differ materially from those stated above. That I (we) agree to comply and abide by the terms and conditions as stated in MacNeil Automotive's current Reseller and MAP agreement.

PLEASE NOTE:

In addition to submitting the credit application, we require that all customers requesting a tax-exempt account (resale account) provide their Resale Certificate(s) for each state registered in or a Uniform Sales & Use Tax Certificate - Multijurisdictional Form or Streamlined Sales and Use Tax Agreement. Scan and email completed forms to [email protected], or fax to 630-769-0300. Your application will not be considered until a completed credit application and additional applicable documentation is received.

Resale Certificate(s) - Forms are available at your State's Department of Revenue website.

Uniform Sales & Use Tax Certificate

Sales & Use Tax Agreement

WeatherTech® Reseller MAP and PTG Agreement

I agree to terms as stated above.

Agreed to By/Contact Name