Welcome to Grand Central Barter, Your Trading Connection

We are excited that you are about to submit your membership application. Please let us know if you have any questions while you complete the form. Thank you for choosing Grand Central Barter.  615-883-1000

*By filling out this form you hereby acknowlege that any payment information provided may be used for veriifcation purposes or to collect any fees relating to to your membership application during the approval process. Your card will not be processed instantly as all applications are pending approval. If you are unsure of what any fees relating to your application may be please contact Grand Central Barter prior to submitting this form. 

 

Contact Information

Business name

About your business

Website

EIN/SSN

Entity typePlease select... Corporation Partnership Proprietor Limited Liability Company Trust/Estate Non Profit

Contact person

Email

Phone

Fax

Mailing Address

Street

Suite

City

StatePlease select... Alabama Alaska Alberta America Samoa Arizona Arkansas British Columbia California Colorado Connecticut Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Island Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming Yukon

Zip

Credit Card Information

We require a credit card to verify your identity as we process this online application. If you are not comfortable providing this information online, call (615) 883­1000 for personal assistance.

You will not be charged now. Our representative will contact you to review and confirm all details and conditions of your membership.

Holder name

16 digit card number

3-4 digit security code

Expires

Please select... 1 2 3 4 5 6 7 8 9 10 11 12

/

Please select... 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027

Billing Address

Same as Mailing Address

Street

Suite

City

StatePlease select... Alabama Alaska Alberta America Samoa Arizona Arkansas British Columbia California Colorado Connecticut Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Island Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming Yukon

Zip

Phone

Email

Please let us know who has referred you to us and we will make sure to thank them.

Name if known

Email if known

Please select the sale rep that worked with you Stewart F. Dave J. Adam B. Grand S.A.