Request a New Account

Printable Application

If you'd rather print and fax/mail a physical copy of this application, simply click the link below to download it in PDF format. Then, just fill it out and send it to us!
Download Application as PDF View Printer-Friendly Application Mail Your Completed Form To:
P.O. Box 34167
Little Rock, AR 72203

Or Fax Your Completed Form To:
501-374-7564 or 800-643-8345

Please fill out the Online Account Request Form below, or, print and mail or fax one of the printable applications to the right. This will begin your new wholesale account request with Paul Morrell.

If you have any questions, or would just like to talk to a Paul Morrell Customer Service Representative, Contact Us!

In order to complete the New Account Application process, you will need the following information:

Name and contact information for all owners
Name and contact information for all individuals authorized to place orders
All store location and contact details
Business ownership details
Financial information:
- Bank contact information
- Trade Creditors (businesses that you have accounts and credit history with)

Online Account Request Form

Please fill out the form below and click submit.

Contact Information

* Business Name:

* Your Name:

* Your Position:

* Phone:

Phone 2:

* E-mail Address:

Fax:

Company Website:

* Shipping Address Line 1:

Shipping Address Line 2:

* City:

* State:

* Zip:

Does the company Billing Address differ from the Shipping Address?

Billing Information (if different from above) Click to Display Optional Fields

Billing Address Line 1:

Billing Address Line 2:

City:

State:

Zip:

Home Office Info. (if different from above) Click to Display Optional Fields

Home Office Address Line 1:

Home Office Address Line 2:

City:

State:

Zip:

Store Hours

* Monday:

* Tuesday:

* Wednesday:

* Thursday:

* Friday:

* Saturday:

* Sunday:

Business Information

* Age of Business:

* Type of Business:

* Business Name:

* Account Number:

Contact Name:

Phone:

Fax:

E-mail:

Address:

City:

State:

Zip:

* Business Name:

* Account Number:

Contact Name:

Phone:

Fax:

E-mail:

Address:

City:

State:

Zip:

Additional Trade CreditorsClick to Display Optional Fields

Business Name:

Account Number:

Contact Name:

Phone:

Fax:

E-mail:

Address:

City:

State:

Zip:

If you have previous credit experience with Paul Morrell, under what name was the account carried?

Additional Information

* How did you hear about Paul Morrell?

* Do you own your own stock of Men's Formal Wear?

* Have you had an account with Paul Morrell Previously?

* Other PM accounts owned by the same entity as above:

Additional Comments:

If you would like a copy of this completed application, please input the email address you would like it sent to: