Parish / church / institution name *
Purchasing contact name *
Role / position
Contact email *
Phone number *
Accounts payable email (if different)
Billing address *
Shipping address (if different)
Estimated qualifying purchase amount
Not yet determined $500–$999 $1,000–$2,499 $2,500–$4,999 $5,000 or more
Requested credit limit (optional)
Not specified $2,500 $5,000 $10,000 Other — discuss with us
Will your organization use a purchase order?
Not sure yet Yes No
Purchase order number (if available)
Products / expected purchases
A requested credit limit is for consideration only. Any approved amount will be confirmed separately in writing.
I confirm that I am authorized to submit this application on behalf of the church, parish, or institution. *
I understand that Net 30 terms and any credit limit require manual review and written approval. Submitting this application does not grant Net 30 purchasing privileges. *
We use the information provided to evaluate and respond to your request. This application is not a subscription to marketing emails. For more information, read our Privacy Policy .
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