Account Application

We Value Your Business

Welcome to Strickland Companies! For over 90 years, our family-owned company has been serving customers with personalized service and reliable customer care!

Customer Care

Corporate Headquarters

Join Our Team

Careers

Billing Information

Company Name

Type of Business

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Billing Contact

First Name

Last Name

Email Address

Phone Number

Fax Number

If you have already been assisted by a Strickland representative, enter their name below

Billing Details

If taxable, what tax should be applied?

If tax exempt, enter certificate number

Upload a copy of your sales tax exemption

Bank Name

Bank Contact Phone

Will you require billing statements?

Yes

Will you submit payments from emailed invoices?

Yes

Will you require purchase orders?

Yes

Delivery Information

Delivery Address (If different that billing)

Address Line 2

City

State

Zip Code

First Name

Last Name

Will you authorize deliveries to other addresses?

Yes

Trade Reference #1

First Name

Last Name

City

State

Zip Code

Email Address

Phone Number

Fax Number

Trade Reference #2

First Name

Last Name

City

State

Zip Code

Email Address

Phone Number

Fax Number

Trade Reference #3

First Name

Last Name

City

State

Zip Code

Email Address

Phone Number

Fax Number

Authorization

Tell us more. How may we be of service?

I have read and adhere to the Terms & Agreements Statement.

Your Signature

Date Submitted

Account Application

We Value Your Business

Customer Care

Corporate Headquarters

Join Our Team

Billing Information

Billing Address

Billing Contact

Billing Details

Delivery Information

Trade Reference #1

Trade Reference #2

Trade Reference #3

Authorization

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