Tracking

Customer Application

Customer Application

  • Note: Affinity Energy requires that you provide an electronic copy of your company's W-9 form. Please attach one to this form where indicated.

  • Contact Information

  • Buyer Contact

  • Accounts Payable Contact

  • Bill To

  • Drop files here or
    Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 200 MB, Max. files: 5.
      Max. upload size: 2MB.
    • Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 200 MB.
      Max. upload size: 2MB.
    • Company Information

    • Officers, Partners or Owners



    • Company Description

    • MM slash DD slash YYYY
    • Bank Reference

    • Trade References



    • This field is for validation purposes and should be left unchanged.