If you would like to download our Credit Application form and mail/fax it in, please click the icon below.
If you would like to fax in the application, please send it to (336) 272-5755.
You can mail in the application to:
Attn: Credit Department
2200 E. Bessemer Ave.
Greensboro, NC 27405
If you would like to apply for credit, please fill out the form below.
* Please note that we are not requesting for your Social Security Number or your Birth Date in the form below – but it is REQUIRED. A representative will give you a call at the phone number you provide to get this information from you and will process the application.
Please fill out the form below, and one of our representatives will contact you shortly.
If you are already a customer of Berico, please log in to schedule service or order.