Vendor Credit Application Request Vendor Credit Application Request Person Submitting Application Request * LT Primary Contact for This Vendor * Vendor Name * Vendor Website Vendor Contact Name (If Available) Vendor Primary Phone Typical Order Amount * Estimated Number of Orders Annually * Products Purchase Use * For Resale Individually or Component UseFor Resale OnlyFor Component Use OnlyFor Administrative Use OnlyOther Products Purchase Use Types/Categories of Products Purchased * Electronic Goods/Services Mechanical Goods/Services Administrative Goods/Services OtherOther Comments Upload Relevant Documents Drop a file here or click to upload Choose File Maximum file size: 52.43MB Submit If you are human, leave this field blank.