For your convenience, Countryside Cooperative has made the following forms available for download. These forms are viewable as a PDF. To view a PDF, you will need Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, you can download the free program.
CREDIT RELATED FORMS
Intro Letter
Individual Consent and W9 Membership Form
Credit Application/Personal
Credit Application/Business
Personal Guarantee
Cardtrol Application
Cardtrol Agreement
Cash Account Form
Company Credit Policy
Your Billing Rights
Authorization for ACH Transactions
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FOR MORE CREDIT INFO, CONTACT:
1-800-236-7585
Ben Brunner, Credit Manager - Ext. 107
bbrunner@countrysidecoop.com
Jodi Wieland, Credit Assistant - Ext. 102
jwieland@countrysidecoop.com
Vicki Weiss, Collection Specialist - Ext. 124 vweiss@countrysidecoop.com
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