CREDIT APPLICATION

You can use the electronic form below OR you can download a paper application.

Thank you for choosing to partner with ILLUMUS, powered by Industrial Lighting Productions, LLC (ILP) and Green Creative, LLC. We look forward to servicing all of your lighting needs.

To ensure timely processing of your orders, please note the below requirements necessary and submit all
documentation to: [email protected] OR use the form below.

Checklist of documents needed:

  • Completed and signed credit application – All Pages (form follows)
  • Email address required for invoicing
  • W9
  • Resale tax certificates for all states where orders will ship (NOTE: tax will be charged for orders
    without a valid resale certificate)

Other Information:

Payment Form Accepted – Checks, Wires, ACH, credit cards accepted for initial orders during credit
underwriting. Note that senders are responsible for wire/ACH fees deducted by transmitting or
intermediary financial institutions.

Remittance Address:

For standard mail:
INDUSTRIAL LIGHTING PRODUCTS LLC
PO BOX 930560
Atlanta, GA 31193-0560

For Wires or ACH Payment:
[email protected]
[email protected]

 

For OVERNIGHT deliveries only:
INDUSTRIAL LIGHTING PRODUCTS LLC
ATTN: LOCKBOX 930560
3585 Atlanta Avenue
Hapeville, GA 30354-1705

Electronic Credit Application

Credit Application (ILP)

Business Information

Registered Company Address

Contact Information

Billing Address
Shipping Address

Bank Information

Address

Business/Trade Reference 1

Address

Business/Trade Reference 2

Address

Business/Trade Reference 3

Address

Agreement Signature

Personal Guarantee Signature 1

By typing your name, using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing.
By typing your name, using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing.

Personal Guarantee Signature 2

By typing your name, using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing.
By typing your name, using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing.

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