Customer account information - Controlled Products 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with SECTION 1. Select your Account Type by checking one of the options: COD Checks, Open – Net 30 Days, or Re-Evaluate Terms. Fill in your CPSG Account number if applicable.
3. Complete the COMPANY INFORMATION section. Enter the Date, CPSG Representative, and Referred By details. Provide your Company Name, Contractors License Number, Mailing Address, Cell Phone, Shipping Address, Email, City, State, Phone, Fax, A/P Contact, Zip Code, Website, and Resale Number.
4. Indicate how you prefer to receive Invoices/Statements by checking either Email or Mail. Specify your A/P Email if you chose Email.
5. Select the Industry you primarily serve from the provided options and estimate your Annual Purchases from Controlled Products.
6. Move to SECTION 2 for ACCOUNT INFORMATION. Fill in Owners/Officers Names and their Home Addresses along with Business Type and Federal ID Number.
7. For OPEN ACCOUNT INFORMATION (if applicable), specify Amount of Credit Requested and provide SSNs for Owner #1 and Owner #2 along with Annual Sales.
8. List Trade References including Company Names and contact details. Complete Bank Information with Bank Name and Account Number.
9. In SECTION 4 AUTHORIZATION, ensure that a principal or officer signs to attest financial responsibility. Include Personal Guarantee signatures as required.

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