Apply for Credit

1. Download (or print) the Credit Application (link below).
2. Complete all fields on the form. Partially completed forms may be returned.
3. Sign and date the completed form.
4. Email to customerservice@brocksupply.com or fax to 1-800-889-0431.

Download Credit Application

Once submitted, please allow up to 10 business days for approval or denial of credit.