Apply for Credit

Please download the Credit Application in a PDF format by following the directions below.

1. Download the Form

Click the button below to download the Credit Application form.

Click Here
to Download

2. Complete the Form and Submit

Once completed, submit your form via fax, mail or online submission.

Fax: (866) 250-6838
Mailing Address: Chemical Distribution Solutions
1125 Oak Street Suite 303
Conway, AR 72032
Submit Online:
  • Max. file size: 50 MB.