IMPORTANT FORMS

We ask all new customers to fill out a Credit Application

Completed forms from Indiana customers may be faxed to 812-372-6801, mailed to PO BOX 304, Seymour, IN 47274, or dropped off at 811 W. 2nd Street, Seymour, IN 47274.

Completed forms from Ohio customers may be faxed to 513-367-6876, or mailed or dropped off at 111 May Drive, Harrison, OH 45030.

Individual Credit Application: If you are an individual seeking our products or services, click to download a copy of our credit application.

Commercial Credit Application: If you are a commercial business or organization, click to download a copy of our credit application.

Gas Card Application: Apply for the Premier Companies card and use it when you purchase fuel to get a 5-cent/gallon discount.