Credit Application

For the purpose of obtaining merchandise from Hercules Industries on credit, please download the credit application form by clicking here.

Once completed, please fax or email the application to your nearest Hercules Industries location for submittal. Our Locations page lists each branch's contact information.

Request Hercules Online Account Setup

Please enter your information, and click the "Submit Account Request" button to submit the online account application.

* Required Information
Hercules Acct. #:  
You must have a Hercules account established in order to register for our website.
* First Name:  
* Last Name:  
* E-mail:  
* Select Password:  
Your password should be at least 4 characters long.
* Verify Password:  
* Company Name:  
* Address 1:  
Address 2:  
* City:  
* State:  
* Zip:  
* Phone:   ( ) -
* Have you done business with Hercules before?   yes no
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