Business Account Credit Application

We're pleased that you are interested in applying for an open account with Midwest Retail Services. Having an account with Midwest Retail allows you to more quickly place and receive orders by having us charge a default company credit card or by sending you an invoice for your orders.

Complete and submit the form below to get started, and a friendly Midwest Retail Services representative will contact you to collect additional information and references required to create your account. If you'd prefer to have a credit application packet emailed to you, please request one by writing to info@mw-rs.com.

We look forward to serving you.

Company Name

First Name

Last Name

Business Title

Email Address

Phone Number

Fax Number

Company Address

Type of Business

Corporation Partnership Sole Proprietor

Amount of Credit Requested

Click here for our credit policies and procedures.
Click here review other applicable terms and conditions.