New Customer Form

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New Customer Form

Become a Partner

Save time and money and order directly online with Carlstar Connect. Find tires, wheels and parts directly on our new portal from the office and on the go.

Please note

Carlstar sells to dealers only. Yearly Sales min. of $10,000 per year required to maintain active account.

Apply to become a Carlstar Partner

Business Info

* Company Name (Full Legal Name)

* First Name
* Last Name

* Address
* City

* State
* Phone

* zip
* Email Address

* Company Website

Business Type

* Principle Line of Business

* Credit Limit Requested
* Date Business Established

* State of Incorporation
* Federal ID Number

* Yearly Tire/Wheel Sales
* HQ Address

* City
* State

* Zip
* Location Type
- HQ
- Branch
- Division
- Subsidary

Principals

* Name & Title

* Name & Title #2

Bank Reference #1

* Name

* Phone
* Fax

* Contact Person
* Account Number

* Bank Address (Street, City, State,Zip)

Bank Reference #2

Name

Phone
Fax

Contact Person
Account Number

Bank Address (Street, City, State,Zip)

Trade Reference 1

* Name

* Phone
* Fax

* Address (Street, City, State,Zip)
Email

Trade Reference 2

* Name

* Phone
* Fax

* Address (Street, City, State,Zip)
Email

Trade Reference 3

* Name

* Phone
* Fax

* Address (Street, City, State,Zip)
Email

Documents

* Sales Tax Form

PDF only - A valid resale certificate, direct pay permit, or exemption certificate for each state in which all sales are not taxable
Company Financials

PDF Only- A current comparative balance sheet and income statement, with your most recent audited financial statements.

Signature

* Your Full Name
* Applicant authorizes The Carlstar Group, LLC to inquire into obtaining from any bank, lending institution, or credit reference, whether listed on this Credit Application or not, any and all information relating to applicant’s credit worthiness or financial condition.
- I agree
Failure to provide any of the information requested in this credit application may limit the amount of credit extended. Any balance not paid when due shall incur a late payment charge of 1.5% per month (18% APR) on the average daily balance until paid. Purchaser shall pay all reasonable attorney fees and collection costs incurred by Seller in collecting any unpaid balance. Release of Credit Information:

* Required Fields

Become a Partner

Please note

Carlstar sells to dealers only. Yearly Sales min. of $10,000 per year required to maintain active account.

Business Info

Business Type

Principals

Bank Reference #1

Bank Reference #2

Trade Reference 1

Trade Reference 2

Trade Reference 3

Documents

Signature

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