Register with Pelham | Pelham Services

STEP 1 OF 5

Your company

Contact person

Job title

Email address

Phone number

Legal company name

Registered company address

City

State / territory

ZIP / postal code

Date business commenced

Company fax (optional)

Business structure

Other business structure

STEP 2 OF 5

Billing & references

Use the company address for billing

Billing address

Billing city

Billing state / region

Billing ZIP / postal code

Preferred billing method

Billing telephone

Billing email

Preferred payment method

Accounts payable contact

Accounts payable phone

Billing fax (optional)

Reference 1 — Company

Reference 1 — Contact name

Reference 1 — Address

Reference 1 — City

Reference 1 — State / territory

Reference 1 — ZIP / postal code

Reference 1 — Phone

Reference 1 — Fax (optional)

Reference 1 — Email

Reference 1 — Type of account

Reference 2 — Company

Reference 2 — Contact name

Reference 2 — Address

Reference 2 — City

Reference 2 — State / territory

Reference 2 — ZIP / postal code

Reference 2 — Phone

Reference 2 — Fax (optional)

Reference 2 — Email

Reference 2 — Type of account

STEP 3 OF 5

Credit options

You only need to complete the credit fields if you want to request credit. All credit requests are subject to review.

Reference 3 — Company

Reference 3 — Contact name

Reference 3 — Address

Reference 3 — City

Reference 3 — State / territory

Reference 3 — ZIP / postal code

Reference 3 — Phone

Reference 3 — Fax (optional)

Reference 3 — Email

Reference 3 — Type of account

Would you like to apply for credit?

Years in business

Annual gross sales (USD)

Identification type

FEIN / SSN

Owner / controller

Owner / controller phone

Bank name

Bank account number

Bank phone

Bank address

Bank city

Bank state / region

Bank ZIP / postal code

STEP 4 OF 5

Agreements & signatures

Your completed documents

Open each document to review it with your information before signing. Documents show DRAFT until you send your request.

A. Authorized signer

An owner or officer who can sign for your company. The same signer signs the account application, the transport terms and, if you request credit, the credit application.

Authorized signer — full name

Title / corporate office (e.g. Owner, VP of Logistics, CFO)

The personal guarantor is the same person as the signer

Personal guarantor — full name

B. Terms and Conditions of Contract

This is the most important document of your account: read all of it. Your initials at the end confirm that you read and accept these terms. The agreements and signatures below unlock after you initial.

C. Agreements

These agreements unlock after you initial the Terms and Conditions (section B).

General & transportation terms: I have read, accept and agree to the Customer Account Agreement and the Terms and Conditions of Contract. *

Credit & investigation authorization: I authorize Pelham Services to verify commercial credit references, run financial inquiries and extend credit terms per the agreement. *

Personal guaranty: I execute the Personal Guaranty in my individual capacity for all obligations incurred under this credit account. *

Electronic signature consent: I agree that the signature and initials I apply below are legally binding electronic signatures under the ESIGN Act. *

Your initials (they must match the authorized signer)

STEP 5 OF 5

Review & send

Review your information and signatures. Editing your answers will require you to sign again so your signatures match the final information.

Submitting this request does not automatically approve credit, settle a claim or create access to Supply Vision. Our team will review it and contact you.

Apply for a Pelham account

Your next move starts here.

Start with your email