Credit Application Request a Free Quote Click to pay invoice(s) eWaste Disposal Apply for Credit with TechTeam Solutions There are two ways to apply: 1. Use our secure online form below to submit your information electronically, or 2. Download a PDF of the credit application and send to your TechTeam Solutions account manager. "*" indicates required fields Name / AddressFirst Name* Last Name* Company Name* Title* Tax I.D. Number* Address* Address Line 2 City* State*StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip code* Email Address Phone Number*Company InformationType of Business* In Business Since* Legal Form Under Which Business Operates*Legal Form Under Which Business OperatesCorporationPartnershipProprietorshipIf Division / Subsidiary, Name of Parent Company In Business Since* Name of Company Principal Responsible for Business Transactions Principal Title Principal Address Principal Address Line 2 Principal City Principal StatePrincipal StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificPrincipal Zip Code Principal Email Address* Principal Phone Number*Bank ReferencesChecking Institution Name Checking Account # Checking Address Checking Phone Savings Institution Name Savings Account # Savings Address Savings Phone Home Equity Institution Name Home Equity Loan Loan Balance Home Equity Address Home Equity Phone Trade ReferencesCompany Name #1 Contact Name #1 Address #1 Phone #1 Email #1 Account Opened Since #1 Credit Limit #1 Current Balance #1 Company Name #2 Contact Name #2 Address #2 Phone #2 Email #2 Account Opened Since #2 Credit Limit #2 Current Balance #2 Company Name #3 Contact Name #3 Address #3 Phone #3 Email #3 Account Opened Since #3 Credit Limit #3 Current Balance #3 Signature I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein.Date* MM slash DD slash YYYY Signature* Reset signature Signature locked. Reset to sign again Δ Download Credit Application