Credit Account Application

Use this form to complete your application.

Important: An activation email, which must be verified, will be sent to the email address supplied below. You will then be notified by email when we have approved your application. After your Customer Account has been set up and tagged by us for wholesale pricing you will be able to browse Wholesale prices online by logging in.

Malfal International may require you to provide proof of your business/company credibility prior to approval. Please make sure to complete all fields.

    General Information

    Business Name*:
    Type of Business*:
    If Other, please specify..
    How did you hear about us?:

    Shipping Address

    Postal Code*:

    Postal Address
    Same as Shipping Address

    Postal Code:

    If your store address differs from your shipping address, or you have multiple store locations and shipping addresses, please email a separate sheet listing each address and related contact information to EMAIL LINK

    Main Contact (Purchaser)
    First Name*:
    Last Name*:
    Company Phone*:
    Company Fax:
    Company Website:

    Accounts Department
    Same as Main Contact

    First Name:
    Last Name:
    Company Phone:

    Credit References
    Please provide us with the name of at least one company or organization that can provide us with information on your credit history:

    Reference 1* Reference 2 Reference 3

    Terms & Conditions

    We/I have read and accept without qualification the Terms and Conditions of Trade included herein and agree to pay all accounts before the 20th of the month following delivery.
    We/I hereby authorize MALFAL INTERNATIONAL or its agents to obtain credit references to verify and support the information in this application. All information supplied is true and correct.
    We/I agree to pay any cost incurred in collection of overdue accounts.