B&R Wholesale Tire & Wheel – We're known by the money you keep

Dealer Forms Credit Application & Dealer Forms

Open a wholesale account with B&R: download the dealer credit application, fill it in, then email it back or drop it off at the store.

Call Now
B&R dealer credit application forms
  1. 1Download the form below.
  2. 2Fill it in and sign it.
  3. 3Email it to brwholesaletireandwheel@gmail.com or bring it to 116 S Meridian Rd.

Credit Application and Agreement

2 pages · PDF

Apply for a B&R wholesale line of credit (charge account). Page 1 asks for your company, owner, bank and three trade references; page 2 has the terms and the personal guarantee to sign.

Have this ready

  • Company name, address, FEIN, and resale number
  • Owner details and percentage of ownership
  • Bank reference and requested credit limit
  • Three trade references
Download the Credit Application and Agreement View the Credit Application and Agreement

Credit Card Authorization Form

1 page · PDF

Let B&R charge your card once or for future purchases you approve by phone. Card fees: Visa, MasterCard and Discover +3%, AMEX +4%. We can only ship to the card’s billing address.

Have this ready

  • Cardholder and company name
  • Card number, expiry and security code
  • Billing address, phone and email
  • Signature and date
Download the Credit Card Authorization Form View the Credit Card Authorization Form

Questions about credit terms? Call the wholesale desk at (330) 953-0117. Already approved? Log in to the dealer portal for pricing.