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HOME
/ APPLICATION
APPLICATION
Step
1
of
7
14%
Application for Credit
CREDIT AMOUNT REQUESTED
(Required)
COMPANY LEGAL NAME
(Required)
DBA
COMPANY ADDRESS
(Required)
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
SHIPPING ADDRESS DIFFERENT?
YES
SHIPPING ADDRESS
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
PHONE
(Required)
FAX
CELL/MOBILE
EMAIL (For Promotions)
BILLING EMAIL
(Required)
TYPE OF BUSINESS
(Required)
C-Corporation
Proprietorship
Partnership
LLC
Month/Year Company Began
(Required)
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Month/Year Current Ownership Began
(Required)
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Annual Sales
(Required)
Federal Taxpayer ID#
(Required)
LIC#
Purchase Order Required?
(Required)
YES
NO
Taxable
(Required)
YES
NO
ATTACH EXEMPTION CERTIFICATE
Max. file size: 50 MB.
PLEASE ANSWER THE FOLLOWING
Have you and/or the Company ever defaulted on a loan?
(Required)
YES
NO
Have you and/or the Company ever filed for bankruptcy, or had an involuntary petition for bankruptcy filed?
(Required)
YES
NO
Have you and/or the Company ever been a defendant to a claim, judgment, tax lien or lawsuit?
(Required)
YES
NO
TRADE REFERENCES
Credit Contact
Email
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Credit Contact
Email
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Credit Contact
Email
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
OFFICER(S) OF THE COMPANY:
Please provide the name(s), title(s), % Ownership, and Social Security number(s), as applicable, of Corporate Officers, all Partners, or all Owner(s).
By his/her signature below, the undersigned Authorizing Official hereby certifies that he/she is authorized by the company to sign and deliver this Application, authorizes us to check with credit reporting agencies and other sources we deem appropriate in considering this application, and that all information contained in this application is true and correct. The undersigned has read and understands and agrees to the Sellers Terms & Conditions of Sale within this application which shall apply at time of sale to all purchases of products and/or services from CFM Equipment Distributors, Inc., which are subject to change from time to time, are available at
Here
and also upon request. By continuing to purchase from CFM Equipment Distributors, Inc. constitutes acceptance of updated terms.
HOW MANY OWNERS OF THE COMPANY
(Required)
1
2
3+
OWNER
Name of Owner
(Required)
Title
(Required)
% Ownership
(Required)
Soc. Sec. #
(Required)
Signature
(Required)
Date
(Required)
Month
Day
Year
OWNER 2
Name of Owner
Title
% Ownership
Soc. Sec. #
Signature
Date
Month
Day
Year
OWNER 3
Name of Owner
Title
% Ownership
Soc. Sec. #
Signature
Date
Month
Day
Year
GUARANTY OF INDEBTEDNESS:
As an inducement to Seller CFM EQUIPMENT DISTRIBUTORS, INC. to sell HVAC and Solar equipment and materials on an open book account to the Buyer listed above, the undersigned Guarantor, for value received, hereby unconditionally guarantees to Seller and its assigns the prompt payment in full, at Sacramento, California, when due, of any and all indebtedness now, or at any time hereafter, owing to Seller by the Buyer including but not limited to attorney’s fees and legal costs. The parties agree that this guaranty shall be governed by the laws of the State of California and that any legal proceeding brought to enforce the terms and provisions of this guaranty shall be filed in a court of competent jurisdiction at Sacramento, California. Guarantor hereby waives the giving or extension of credit, or extension of time of payment, to the Buyer, and waives presentment, demand, notices of default, nonpayment or partial payments and protest, notice of protest, and all other notices or formalities to which the Buyer might otherwise be entitled, prosecution of collection or remedies against the Buyer or against the makers, endorsers or other persons liable on any commercial paper. This guaranty is absolute, unconditional and continuing, and payment of all sums for which the undersigned Guarantor becomes liable shall be paid to Seller on demand as the same become or are declared due. This guaranty shall continue until such time as Guarantor shall give written notice of termination to Seller by certified or registered mail. This guaranty shall inure to the benefit of Seller and its successors and assigns. This guaranty shall be binding on the successors, assigns and personal representatives of the Guarantor. Guarantor agrees to pay Seller attorney’s fees and costs if suit is brought to enforce this guaranty.
GUARANTOR
Name
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
Seller and Buyer agree as follows:
1. CFM EQUIPMENT DISTRIBUTORS, INC. is executing this agreement to provide credit sales to Buyer based and in reliance upon CFM EQUIPMENT DISTRIBUTORS, INC.’s approval of an Application for Open Account submitted by Buyer who warrants the accuracy and truthfullness of the information set forth therein. Buyer understands and acknowledges that CFM EQUIPMENT DISTRIBUTORS, INC. is relying upon the information Buyer has provided on the credit application. Buyer further understands and acknowledges that CFM EQUIPMENT DISTRIBUTORS, INC. will suffer detrimental harm if Buyer intentionally or should have known they were providing false information. 2. Unless otherwise agreed to in writing, signed by an officer of both the Buyer and CFM EQUIPMENT DISTRIBUTORS, INC, Buyer agrees that the terms of the AGREEMENT FOR COMMERCIAL OPEN ACCOUNT are the only terms that apply to any transaction between the buyer and CFM EQUIPMENT DISTRIBUTORS. 3. CFM EQUIPMENT DISTRIBUTORS, INC. agrees to establish an open account in the name of Buyer for purchases made by Buyer from CFM EQUIPMENT DISTRIBUTORS, INC. from time to time. 4. Unless otherwise agreed in writing, Buyer agrees to pay CFM EQUIPMENT DISTRIBUTORS, INC. the invoice amount of all purchases within thirty (30) days of the invoice date. All transactions, quotes, invoices are in US dollars. All payments shall be made in US dollars. Buyer authorizes CFM EQUIPMENT DISTRIBUTORS, INC. to process ACH transactions on Buyer’s bank for payments received and past due account payments on Buyer’s account pursuant to the Electronic Authorization given by Buyer to CFM EQUIPMENT DISTRIBUTORS, INC. Accounts remaining unpaid beyond our terms will be placed on credit hold pending satisfactory payments. Any customer not meeting his financial obligations will be considered delinquent and may be subject to the loss of open credit. 5. Buyer will be invoiced in the regular manner for all parts even though it may be an in-warranty transaction. Credit will be issued promptly on the return of the defective part, as long as it is returned within the prescribed time limit and has the required information necessary for us to issue credit under the terms of the In-Warranty Policy. Withholding payment of any invoice in anticipation of an in-warranty credit does not meet the conditions of our terms of sale. 6. All sales are F.O.B. Sacramento, California, or other shipping points of CFM EQUIPMENT DISTRIBUTORS, INC., with shipping costs payable by Buyer except to the extent of freight allowances given by CFM EQUIPMENT DISTRIBUTORS, INC. on current price sheets. 7. The parties agree that only manufacturer warranties are included in sales. Buyer understands that they are explicitly waiving the implied warranty of merchantability in all sales of goods purchased through CFM EQUIPMENT DISTRIBUTORS, INC. 8. CFM EQUIPMENT DISTRIBUTORS, INC. shall have no obligation to make credit sales in the event of a delinquent open account. 9. Returns may be subject to a minimum 10% restocking fee. Non stock and special order items are not eligible for return. 10. Buyer agrees to pay CFM EQUIPMENT DISTRIBUTORS, INC. a daily finance charge equal to 1.5% per month, or 18% per annum, on all past due accounts until paid. 11. Buyer hereby grants to CFM EQUIPMENT DISTRIBUTORS, INC. a security interest under the California Commercial Code Chapter 13 in all equipment in the Buyer’s possession from time to time, and the sale proceeds therefrom, to secure all obligations of the Buyer to CFM EQUIPMENT DISTRIBUTORS, INC. under this Agreement and the obligations of Buyer, from time to time, to pay CFM EQUIPMENT DISTRIBUTORS, INC. for the purchase of equipment. Buyer agrees to execute a financing statement (UCC-1) for filing with the Secretary of State, and such further documents as may be reasonably requested by CFM EQUIPMENT DISTRIBUTORS, INC. to perfect its security interest hereunder. Buyer authorizes CFM EQUIPMENT DISTRIBUTORS, INC. to execute or endorse on behalf of Buyer financing statements and amendments thereto, and documents evidencing or perfection the security interest granted herby, as attorney-in-fact for Buyer. This power of attorney granted herein is irrevocable and couple with interest. 12. Buyer agrees to pay all costs of collection, including but not limited to attorney’s fees, expert witness fees, agency fees, and court costs incurred by Seller, with respect to any and all collection efforts and legal proceedings taken by Seller to collect any past due account. Standard collection efforts include, but are not limited to, UCC § 2-609. Right to adequate assurance of performance. Collections activity may include, but are not limited to, phone calls, emails, late notices, and final demands. 13. The parties agree that this agreement shall be governed by the laws of the State of California and that any legal proceeding brought to enforce the terms and provisions of this agreement shall be filed in a court of competent jurisdiction at Sacramento, California. 14. Buyer represents that it is a sole proprietor, partnership, corporation, LLC, or other legal entity as set forth in Buyer’s Application. 15. For sales of product that take place in states outside of CFM EQUIPMENT DISTRIBUTORS, INC. shipping locations, at the customer’s point of delivery, customer agrees to report and pay all applicable sales and use taxes in connection with sale and hold CFM EQUIPMENT DISTRIBUTORS, INC. harmless therefrom.
AGREEMENT TO TERMS
(Required)
I agree
Name
(Required)
Date
(Required)
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