Electronic Application

* Required Fields


Organization Type *

Federal Tax ID#
Estimated Monthly Spending (On office supplies) 
Estimated Monthly Spending (On janitorial supplies)  
Estimated Square Footage Cleaned  
Purchase Order Number Required?  

Accounts Payable Contact Information

Name * Phone * Extension Email *

Terms & Conditions

The undersigned applicant certifies the above information is true and correct and authorizes MinistryResource affiliates to contact all references listed to verify information on the applicant’s company. The undersigned agrees to pay all charges in accordance with payment terms of Net 15 days. A late fee of 1.5% per month will be applied to balances older than 30 days. Should credit availability be granted by the office affiliate of MinistryResource, all decisions with respect to its extension or continuation shall be in the sole discretion of the MinistryResource affiliate. The office affiliate of MinistryResource may terminate any credit availability within its sole discretion. If the undersigned applicant’s account is placed in the hands of an outside agency for collection, the undersigned agrees to pay reasonable attorney fees and collection costs, even though legal proceedings are not filed.

I agree to the terms and conditions: