Carlstar | 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

Company Name (Full Legal Name)

First Name

Last Name

Address

City

State

Zip

Email Address

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

Zipcode

Location Type

Branch 2

Division

Subsidary

Principals

Name & Title

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)

Trade Reference 2

Name

Phone

Fax

Address (Street, City, State,Zip)

Trade Reference 3

Name

Phone

Fax

Address (Street, City, State,Zip)

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 valid resale certificate, direct pay permit, or exemption certificate for each state in which all sales are not taxable

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:

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Please request only 1 account per company.

You can create employee accounts directly under your company on your account page once the main account has been created.

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Become a Partner

Please note

Business Type

Principals

Bank Reference #1

Bank Reference #2

Trade Reference 1

Trade Reference 2

Trade Reference 3

Documents

Signature

Please request only 1 account per company.

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