New Account Application

Welcome to Venture Circle International. Complete the steps below to set up your account. Your progress saves automatically as you go.

Company & Billing

Company / Location Name * Parent Company (optional) Billing / Mailing Address Suite / Unit City State ZIP Company Phone Company Email Company Website (optional)

Buyer Contact(s) (at least one required)

Accounts Payable Contact

A/P Name * A/P Phone * A/P Email *You can add multiple emails separated by a comma. Used for both invoices and statements.

Will you pick up your orders?

Yes — I'll pick up (CPU) No — please ship to us

Shipping Address

Ship-to Company Address Suite / Unit City State ZIP Ship-to Phone

Receiving

We typically ship to jobsites We have a warehouse with set receiving hours

Warehouse Receiving Hours *

Where is your company located?

Florida company Outside Florida

Sales Tax Status (Florida)

Florida requires a signed copy of your Annual Resale Certificate (DR-13). A number, blanket certificate, or letterhead is not accepted by the Department of Revenue.

I have a DR-13 Annual Resale Certificate I do not have a sales tax resale certificate

Sales Tax Status (Outside Florida)

Tax exempt — I have a resale certificate for my state Not tax exempt

Upload Resale Certificate *

Please upload a copy of your resale / exemption certificate. This is required to set up a tax-exempt account.

I require sales tax to be added to all purchases in accordance with the Sales and Use Tax Laws.

Name Title Date

We are not tax exempt and hereby agree to remit the tax due for our State tax authority. This includes taxable purchases from out of state vendors.

Name Title Date

How would you like to pay?

Request Terms (credit) Prepay

For prepaid orders, Venture will reach out to collect payment prior to your order shipping.

I'd rather not complete a credit application — I'm OK to prepay instead.

Approximate Credit Line Requested

Bank Reference

Bank Branch Location Acct # / Officer Phone

Trade References (at least 3 — email & phone required)

Officers / Partners

Certification

The above named company certifies the information herein is true and agrees to pay all cost of collection, including reasonable attorney fees. All charges are due and payable in full at the office of Venture Circle International, LLC, Seminole County, Florida. I authorize you to check my credit history.

Signature (type full name) Title Date

Payment Method Preference

ACH Physical Check Credit Card

I acknowledge a 3.5% or $5, whichever is more, processing fee applies to credit card payments.

Review your application

In case we have questions

Your Name Your Phone

✓

Application received

Thank you. Our team will review your application and reach out shortly. A confirmation has been sent to our Customer Service and Accounting teams.