Account Request

For New Customers

Western Supply Company, Inc. is a Plumbing, HVAC, and Sprinkling Wholesale Distributor servicing Central & Western Kansas.  Our sales are limited to tradesmen who install our products and those commercial, industrial, and governmental accounts who perform their own maintenance.    If you are a qualified tradesmen and would like to set up an account with us please contact the Branch Manager at the location nearest you to discuss your business needs.  For those that qualify, forms are available for you to download below.

Hutchinson  620-662-8875
Great Bend   620-793-8101
Hays  785-625-4176
Dodge City  620-225-1555

For New Customers

Credit Application

ST-28A Kansas Sales Tax Exemption Form

ST-28M Multi Jurisdiction Sales Tax Form (if not located in State of Kansas)

Credit Card Authorization Form (optional)

For Existing Customers

Customer Information Update Form

Authorized Purchasers & Contacts Form

Send completed forms to [email protected]