Paying by ACH or Auto-ACH requires agreement to the following terms.
Customer wishes to have Warsaw Chemical (WC) initiate Debit Entries to its account (details below) in payment of obligations owed by Customer to WC pursuant to the terms of this Agreement and the ACH Rules relating to Corporate Trade Payment Entries and the Automated Clearing House Association, and is willing to initiate such Entries on the terms set forth below.
1. Authorization. Subject to the terms set forth below, Customer authorizes WC to initiate Debit Entries to the Account in accordance with the Rules for obligations owing from time to time by Customer to WC resulting from the sale of Warsaw Chemical products.
2. Warsaw Chemical’s Failure to Originate. Customer shall not be deemed to default on any obligation or suffer any loss of discount or other penalty by reason of the failure of WC to initiate any Debit Entry in accordance with the terms of this Agreement.
3. Entry Information. Each Entry initiated under this Agreement shall be accompanied by the WC invoice being satisfied, fax/email of check Customer wishes to be drawn on, fax/email of verbal authorization for the individual transaction or recurring transactions.
I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify Warsaw Chemical in writing of any changes in my account information or termination of this authorization at least 10 days prior to the next authorized ACH date. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF), I understand that WC may attempt to process the charge again within 30 days, and agree to a $30.00 charge which will be initiated as a separate transaction from the authorized payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I agree not to dispute this with my bank as long as the transactions correspond to the terms indicated in this authorization form.
Please enter the access code provided by your Warsaw Chemical sales representative to begin your credit application.
Don't have a code? Contact your sales representative or call 574.267.3251.
Basic company details and billing address
Delivery location and freight requirements
How you will pay and how you'd like to receive invoices and statements
A 3% processing fee is added to each credit card transaction.
Corporate structure, officers, bank and trade references
The Undersigned Authorizes and Allows the release of banking information for purposes of obtaining credit with Warsaw Chemical Holdings LLC
Tax exemption status and agreement to credit terms
If your purchases are exempt from sales tax, please upload a copy of all your tax exemption certificates. Sales tax will be charged on all shipments in any of the states that Warsaw Chemical is currently required to collect sales tax in.
Click to upload tax exemption certificate
PDF, JPG, PNG, GIF, TIFF — max 10 MB
As of 8/15/26 the states we are required to collect sales tax in, or tax exemption certificates for, are:
Customers that have not submitted a properly completed sales tax exemption certificate will be taxed at a rate required by law for the state that each order ships to.
Please call our office to request sales tax exemption forms and we will be happy to provide you with the proper forms and do our best to answer any questions that you may have.
Must be signed by a principal or officer
Thank you for submitting your credit application to Warsaw Chemical Holdings LLC. Our accounting team will review it and contact you shortly.
Questions? Contact Kenzie Coop at (574) 526-0892 or Kcoop@warsawchemical.com