PC
Pelican Chemicals
New Account Setup
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Section 1 of 5
Company Identity
Tell us about your business. This information appears on contracts and invoices.
Legal Information
Legal Company Name
*
DBA / Trade Name
Business Structure
*
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LLC
Corporation
S-Corporation
Partnership
Sole Proprietorship
Municipality
State Government
Federal Government
Non-Profit
Other
State of Incorporation
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Federal EIN
*
Years in Business
Company Website
Primary Contact
Name
*
Position
Main Phone
*
Main Email
*
Accounts Payable Contact
Name
Position
Email
Phone
Email Address for Invoices
Billing Address
Street Address
*
Street Address Line 2
City
*
State
*
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ZIP
*
Required Documents
W-9 Form
PDF or image, up to 10 MB
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Section 2 of 5
Credit & Banking
Used to establish your credit terms. Banking details are kept confidential.
Credit Request
Requested Credit Limit (USD)
Requested Payment Terms
— Select —
Prepay
COD
Net 15
Net 30
Net 45
Net 60
D&B Number (optional)
Bank Reference
Bank Name
Bank Phone
Bank Contact Name
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Section 3 of 5
Delivery Locations
Add every site where you'll receive product. Tax status and certificates are set per location.
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Section 4 of 5
Trade References
Provide at least two suppliers you currently do business with on credit terms.
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Section 5 of 5
Product Details
Confirm how you'll receive each product and your expected volumes.
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Setup Submitted
Thank you. Your account setup has been received and is now under review by the Pelican team.
We'll reach out within one to two business days to finalize your account and confirm pricing.
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