New Customer

Fill out the form below or download our form and fax/email it to us.

  • Please list two of the following: business name, phone number, fax number.
  • This application is made voluntarily for opening an account and/or obtaining credit. All the information contained herein is true and correct. The terms of all sales are stated on each invoice and are payable accordingly. If Elkins Wholesale Inc. must sue for collection, then the customer agrees to pay court costs and reasonable attorney’s fees of not less than 10% of the obligation owed. This application must be signed by officer or approved person. This authorizes Elkins Wholesale Inc. to obtain needed credit information.