Business Account Application

Apply for a Business Account with Supply Tie. Once approved, you'll receive login credentials and access to business pricing on your account.

Business Information

Business Name *

Contact Name *

Email Address *

Phone Number

Business Website

Business Address *

Account Details

What type of account are you applying for? *

Estimated Annual Purchase Volume

Tax Exemption

Is your business tax exempt? *

If yes, please email your completed tax exemption certificate to info@supplytie.com with the subject line "Tax Exemption – [Your Business Name]". Your account will not be marked tax exempt until the certificate is received and verified.

Net Terms Request

Are you requesting net terms? *

If requesting other terms or have details to add:

Net terms are subject to credit approval. We may request trade references or a credit application prior to approval.

Additional Information

How did you hear about us?

Additional Comments