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 Manager 

PO Box 155

Ridgeland, WI 54763

Phone: 715-949-1165

Email: dianek@synergycoop.com

 

 

Bobbi Demers

Account Resolutions Manager

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

W9 TAX FORM

ACH PAYMENT AGREEMENT (Optional)

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

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


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)


Crop Input Financing Options for Farmers

APPLICATION PERIOD IS NOW OPEN.

Crop Input Finance Brochure

Simpli-Fi Application

WinField Application