Request New Account & Credit Terms Application

Welcome to Sanico Cleaning Solutions! We are delighted to offer you the opportunity to apply for a new account and/or credit terms with us. As a valued customer, you will have access to a wide range of high-quality cleaning supplies and solutions to meet your business needs.

Applying for a new account and credit terms with us is easy and hassle-free. Our credit application process is simple and straightforward, and our team is always available to assist you with any questions or concerns you may have.

By opening an account with Sanico, you’ll enjoy flexible payment options such as Net Terms, Cash on Delivery, or Credit Card run at shipment and stored in our secure credit card processor’s encrypted and PCI compliant vault, allowing you to manage your cash flow more effectively. You can also take advantage of special promotions, discounts, and offers available exclusively to our account holders.

To get started, simply fill out our online credit application form, and one of our representatives will get in touch with you as soon as possible to discuss your application. Thank you for considering Sanico as your preferred supplier of cleaning supplies and products.

Sanico New Account and Credit Application Form

Interested in becoming a Sanico customer? We're happy to partner with you! Please fill out the form below and we will contact you once your account is set up.

Step 1 of 6

Account Type(Required)

What type of account do you want to set up? Your account terms can be upgrade or downloaded later by our Accounts Receivable department

Company Name(Required)

Legal name of company/entity

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Address of Company - Where we will send Invoices to.

Business Ownership Type(Required)

Corporation

Sole Propietor

LLC

Other

What type of company are you?

Years in Business?(Required)

How long has the company been operating?

Federal ID#(Required)

FEIN or SSN of Majority Owner

Tax Exempt?(Required)

Are you tax exempt? If so upload Tax Exempt / Resale Certificate below

Upload Tax Exempt / Resale Ceritficate(Required)

Accepted file types: jpg, png, pdf, Max. file size: 128 MB.

ACCOUNTS PAYABLE & PURCHASING INFORMATION

Accounts Payable Information

Accounts Payable Contact Name(Required)

First Last

Accounts Payable Contact Title

Accounts Payable Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Accounts Payable Phone Number(Required)

Accounts Payable Fax Number

Accounts Payable Email Address(Required)

Purchasing Contact Information

Purchaser Name(Required)

First Last

Purchaser Title

Purchaser Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Purchasing Contact Phone Number(Required)

Purchasing Contact Fax Number

Purchasing Contact Email Address(Required)

CREDIT INFORMATION

This information is mandatory because you requested Terms. If you do not want to provide this information please go back and select "C.O.D." or "Credit Card" as your account type.

Corporate Officers, Partners, and Proprietor Information

Primary Stakeholder Name(Required)

First Last

Primary Stakeholder Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Stakeholder Phone(Required)

Secondary Stakeholder Name

First Last

Secondary Stakeholder Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Secondary Stakeholder Phone

REFERENCES

Bank References

Bank Name(Required)

Bank Account Number(Required)

Bank Representative Name

First Last

Bank Branch Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Bank Phone(Required)

Trade References

Companies or individuals you have worked with who can attest to your credit worthiness.

Reference 1 Name(Required)

First Last

Reference 1 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference 1 Phone(Required)

Reference 2 Name(Required)

First Last

Reference 2 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference 2 Phone(Required)

Reference 3 Name(Required)

First Last

Reference 3 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference 3 Phone(Required)

Do you want a user set up for online ordering?(Required)

Yes

This option is only for creating a user connected to this account on our shop.isanico.com buy site. It is not required when opening an account and can be done later.

Web User Name(Required)

First Last

Web User Email Address(Required)

Requested Username

If blank, email address will be used

Requested Password(Required)

Password Length between 8-16 Characters, containing at least (ONE) Uppercase, (ONE) lowercase, (ONE) Number and (ONE) Symbol

Terms Consent(Required)

I agree to the terms of credit below

CREDIT INQUIRY: I UNDERSTAND THAT THIS REQUEST MAY TRIGGER A CREDIT INQUIRY, AND THAT INFORMATION I HAVE PROVIDED WILL BE USED TO DETERMINE WHETHER SANICO, INC WILL EXTEND PAYMENT TERMS TO ME.
SALES TERMS & CONDITIONS: TERMS NET 15. A SERVICE CHARGE OF 1.5% PER MONTH WILL BE ADDED TO ALL BALANCES 30 DAYS PAST DUE. I AGREE AND UNDERSTAND THAT ACCOUNTS ARE DUE AND PAYABLE ACCORDING TO THE TERMS STATED ON THE INVOICE. I AGREE TO PAY FINANCE CHARGES AND COLLECTION COSTS; INCLUDING ATTORNEY FEES AND COURT COSTS.

Information Accuracy(Required)

I agree

I HEREBY ATTEST THE INFORMATION PROVIDED ON THIS CREDIT APPLICATION / NEW ACCOUNT CREATION FORM TO BE WHOLLY ACCURATE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT THIS INFORMATION WILL BE STORED IN SANICO, INC'S INTERNAL DATABASES FOR AS LONG AS AN ACCOUNT IS ESTABLISHED.

Sign Name(Required)

First Last

By entering your name in this box you are providing a digital signature.

Signer Title(Required)

Date

Name of referrer (if applicable)

Did another customer or sales representative refer you to us? How did you find us?

CAPTCHA

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FOR SANICO USE ONLY

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ACCOUNT#

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APPROVED BY

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KEYWORDS

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SALESPERSON NAME

First Last