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.
 
The Credit Staff at Synergy Cooperative


 

Diane Kuhl

Credit & Collections Manager 

PO Box 155

Ridgeland, WI 54763

Phone: 715-949-1165

Email: dianek@synergycoop.com

 

 

Bobbi Demers

Credit & Collections Specialist 

PO Bo 118

Almena, WI 54805

Phone: 715-357-3650

Email: BobbiD@synergycoop.com 


Personal Credit Application Package

Please Fill Out all forms to apply for personal credit 

 

PERSONAL CREDIT APPLICATION

ACH PAYMENT AGREEMENT

W9 TAX FORM

SERVICE INFORMATION

CUSTOMER LEASE AGREEMENT


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


Business Credit Application Package 

Please fill out all forms to apply for business credit

 

BUSINESS CREDIT APPLICATION

ACH PAYMENT AGREEMENT

W9 TAX FORM