Become A Customer

Click here for Credit Applicaiton

1. Download the Credit Application (or, view from your browser).
2. Fill out the application (print out a hard copy and fill out by hand or complete digitally – if you are unable to type on the PDF, please update your edition of Adobe Reader.
3. Print and sign the document and either email it to us (LRodman@centurydist.com, subject line: I Want to be a New Customer), or fax to 301-212-9681.

Click here for ACH Form

1. Download the ACH Form (or, view from your browser).
2. Fill out the application (print out a hard copy and fill out by hand or complete digitally – if you are unable to type on the PDF, please update your edition of Adobe Reader.
3. Print and sign the document and either email it to us (LRodman@centurydist.com, subject line: ACH form), or fax to 301-212-9681.