• www.coedistributing.com

    Corporate Headquarters
    1020 Franklin Drive, Suite 5
    Phone: 800-388-8202
    Fax: 866-437-6037
    Email: accounting@coedistributing.com

    Remit To Address:
    PO Box 536577
    Pittsburgh, PA 15253-5907

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  • Credit Application

  • General Business Information

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  • Company Contact Information

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  • For the box below you will sign your name digitally using your mouse. This notifies us that you understand and agree to what you have read above and are ready to move forward.

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  • Applicant: Please Complete Trade References For Determination Of Credit Approval, Review And Sign Payment Agreement And/Or Gurantee. Be Sure To Include A W-9 and Proof Of Your Sales Tax-Exempt Status. No Application Is Complete Without All Of The Above.

  • JMJS, Inc. dba COE Distributing

    Authorization to Investigate Trade References

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  • Please download the attached Authorization to Investigate Trade References document if necessary.

     

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  • Payment Agreement

  • Please download and fill out the attached Payment Agreement.

     

    Payment Agreement

  • Once completed, please submit the form below.
    You may also email it to us at accounting@coedistributing.com
    or fax it to 866-437-6037

  • Guaranty

  • Please download and fill out the attached Guaranty Document.

     

    COE Guaranty

  • Once completed, please submit the form below.
    You may also email it to us at accounting@coedistributing.com
    or fax it to 866-437-6037

  • W-9 Form

  • Please download and fill out the attached W-9 form.

     

    W-9 Form

  • Once completed, please submit the form below.
    You may also email it to us at accounting@coedistributing.com
    or fax it to 866-437-6037

  • Credit Card Authorization

  • If you wish to pay by credit card, please fill out and attach the document below.

     

    Credit Card Application

  • Once completed, please submit the form below.
    You may also email it to us at accounting@coedistributing.com
    or fax it to 866-437-6037

  • Authorization Agreement

    ACH Preauthorized Payments (Debits)

  • If you wish to pay by ACH, please fill out and attach the document below.

     

    Authorization Agreement

  • Once completed, please submit the form below.
    You may also email it to us at accounting@coedistributing.com
    or fax it to 866-437-6037

  • If you are ready and have filled out everything to the best of your ability please submit form below.

     

    Please note that there is a Download Copy Option to give you the ability to save/print the form you have completed today.

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