Business Credit Application

Apply for Net 30 Credit Terms

Open a business credit account with Alpha Intercom and request Net 30 payment terms. Complete the form below and our team will review your application within 1 to 3 business days.

Applications are subject to review. Once approved, a formal credit agreement will be sent for completion to activate Net 30 terms.

Legal Business Name *

Operating / Trade Name

Business Type *

Years in Business *

Business Address *

Main Contact Name *

Title

Business Email *

Phone Number *

Accounts Payable Email

Estimated Monthly Purchases *

Requested Credit Limit *

Authorization

By submitting this application, you confirm that the information provided is accurate.

Submission of this form does not guarantee approval of Net 30 terms.

I certify that the information provided is true and complete and I authorize Alpha Intercom to review this application.