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

FORMS

Credit Application

State of Kansas Sales Tax Information Form

Multi Jurisdiction Sales Tax Form (if not located in State of Kansas)

Credit Card Authorization Form (optional)

For Existing Customers

Customer  Information Update Form

 

Fax completed forms to 620-663-7876