Credit Application

To create a COD account with BR Supply, click on the link below, print, fill out.  You can fax the COD form to 731-660-2719.  You can mail the completed COD form to:  BR Supply, Inc., Attn:  Credit Department, 2078 Hollywood Dr., Jackson TN  38301. Or, you can scan the completed COD form and email it to This email address is being protected from spambots. You need JavaScript enabled to view it..

 

COD Account Form

 

To create a credit account with BR Supply, Inc., please open the applicable credit application, print and fill out.  You can fax the credit application to 731-660-2719.  You can mail the completed application to: BR Supply, Inc., Attn:  Credit Department, 2078 Hollywood Dr., Jackson TN  38301. Or, you can scan the completed application and email it to This email address is being protected from spambots. You need JavaScript enabled to view it..

 

Business Credit Application

Personal Credit Application