HPI-Online® Credit Application

Thank you for requesting a credit application from HPI. We look forward to doing business with you! Please follow the instructions below.

If you wish to download this form and mail it instead of filling it out online, please download it here.


If you have any questions please feel free to call us at 1-800-778-2217.

Turn around time depends on your vendors, and how quickly they return HPI's fax requests. You can save time by ensuring all your vendors' Phone and Fax numbers are correct on the credit Application below!

You may fax an order over with your credit app, but your order WILL NOT be processed until approval has been completed! Your first order to establish a NET 30 account with us must be a minimum of $1,000.

Company Information

Main Billing Address
Shipping Address

Bank Information

Credit References

Credit Reference 1
Credit Reference 2
Credit Reference 3

Credit Agreement

Credit terms are 30 DAYS net from date of invoice. Interest may accrue at the maximum rate allowed by law. Invoices are not payable in installments, but are payable in full.

Buyer promises to pay all costs incurred by seller in collecting amounts due hereunder, including attorney's fee, whether or not suit is filed.

As an inducement to grant credit, the undersigned warrants that the information submitted is true and correct. HPI is authorized to investigate the credit references listed.