Below you will find our Credit Application, Credit Policy, Preferred Credit Selection, and Service Application forms. Please fill out and/or print the necessary forms.  Fill them out completely.  Sign in all necessary areas.  Also, if applicable, we have Wisconsin Sales and Use Tax forms available.  

Please do not hesitate to contact us if you have any questions or concerns. 
We look forward to doing business with you.

Personal Credit Application Package

Please Fill Out all forms to apply for personal credit 

 

PERSONAL CREDIT APPLICATION

W9 TAX FORM

ACH PAYMENT AGREEMENT (Optional)

SERVICE INFORMATION

CUSTOMER LEASE AGREEMENT

 

Please email your completed application package to one of our credit staff listed below

Personal Cash Application Package

Please Fill Out all forms to apply for personal cash

 

CASH ACCOUNT APPLICATION

W9 TAX FORM

SERVICE INFORMATION

CUSTOMER LEASE AGREEMENT

*Credit account required to be eligible for Automatic/Keep Fill Program*

 

Please email your completed application package to one of our credit staff listed below

Business Credit Application Package 

Please fill out all forms to apply for business credit 

 

BUSINESS CREDIT APPLICATION

W9 TAX FORM

ACH PAYMENT AGREEMENT (optional)

SALES TAX EXEMPTION FORM (Wisconsin)(optional)

SALES TAX EXEMPTION FORM (Michigan)(optional)

 

Please email your completed application package to one of our credit staff listed below

Crop Input Financing Options for Farmers

APPLICATION PERIOD IS NOW OPEN.

Crop Input Finance Brochure

Simpli-Fi Application

WinField Application

 

Please contact Diane Kuhl with completed application

Credit Staff of Synergy Cooperative: 

 

Diane Kuhl

Credit Manager - Southern Region

PO Box 155

Ridgeland, WI 54763

Phone: 715-949-1165

Email: dianek@synergycoop.com

 

Bobbi Demers

Account Resolutions Manager - Northern Region

2031 13-12 1/2 Ave

Cameron, WI 54822

Phone: 715-357-3650

Email: BobbiD@synergycoop.com