1
Business & Contacts
2
Principals, Refs & Banking
3
Docs & E-Signature

1Business Information

Legal business name is required.
EIN is required.
Years in business is required.
Phone is required.
Billing address is required.

1Contact Information

List the people who place orders and handle invoices. At least one contact of each type is required.

Parts Purchaser / Mechanic
Person in Charge of Paying the Bill / AP

2Principals & Ownership

List all owners or officers with 10%+ ownership. At least one is required.

3Trade References

We use your trade references to establish your credit limit. Three references required.

Reference 1

Reference 2

Reference 3

4Banking Information

Bank name is required.
Account number is required.
Valid 9-digit routing number is required.

3Fleet Information

Fleet size is required.
List the truck / bus makes in your fleet
List the parts categories and brands you buy most

5Download & Upload Tax Forms

Download the forms below, complete them, and upload the signed copies. W-9 is required; ST-4 is optional (only needed if your business is tax-exempt).

πŸ“„
W-9 Form

Required by the IRS. Download, sign, and upload the completed form.

⬇ Download W-9
πŸ“‹
Massachusetts ST-4 OPTIONAL

Only required if your business is claiming MA sales tax exemption.

⬇ Download ST-4
πŸ“Ž

Click to upload W-9

PDF, DOC, DOCX β€” max 10MB

πŸ“Ž

Click to upload ST-4

PDF, DOC, DOCX β€” max 10MB

6Authorization & E-Signature

I/We certify that the information provided in this application is true, correct, and complete to the best of my/our knowledge. I/We authorize Brake & Truck Supply to verify all information provided, including contacting trade references, banks, and credit bureaus as necessary. I/We understand that this application does not guarantee credit approval and that Brake & Truck Supply reserves the right to deny credit based on the information provided or credit history. If approved, I/We agree to pay all invoices within the agreed-upon terms and understand that overdue accounts may be subject to standard collection procedures.

Signature name is required.
Title is required.
Date is required.

We'll review your application and respond within one business day.

βœ…

Application Received

Thank you β€” we'll review your credit application and be in touch within 1–2 business days.

While you wait:

Browse the catalog β€” thousands of heavy truck and trailer parts from 48+ brands. Everything you need for your fleet is already in stock.

Browse the Catalog β†’