Credit Application
THIS CREDIT APPLICATION IS TO BE COMPLETED BY AN AUTHORIZED INDIVIDUAL OF THE CUSTOMER MAKING THE APPLICATION. We suggest you retain a copy of this document for your files. Faxed copies of this form are accepted in order to begin processing the information.
BILLING LOCATION: SHIPPING LOCATION:
Business name:
Street P/O Box:
City:
State:
Zip:
Phone:
Fax:
Business name:
Street P/O Box:
City:
State:
Zip:
Phone:
Fax:
Type of Business:
(Distributor, Manufacturer etc.)		 Division of, or affiliated with:
Type of Organization:
(Corp., Partnership, etc.)		 In business since:
Federal ID Number:
 		 Release Number:
Resale Certificate #:
 		    
Key Personnel:
President:
Outside Processing Mgr
Controller / CFO
Accounts Payable:
TRADE REFERENCES (3 references required) BANK REFERENCE
Name:
Street P/O Box:
City:
State:
Zipcode:
Phone:
Fax:
Name:
Street P/O Box:
City:
State:
Zipcode:
Phone:
Fax:
Name:
Street P/O Box:
City:
State:
Zipcode:
Phone:
Fax:
Name:
Street P/O Box:
City:
State:
Zipcode:
Phone:
Acct #:
Bank contact name:
*** METAL PROCESSING TERMS ARE: NET 10 DAYS ***
I, the undersigned, being a duly authorized individual, do hereby authorize Metal Processing to contact the stated references for the purpose of obtaining credit information for consideration of the application. I also agree to the terms as stated above and state that the information put forth to this application is true and correct.
Name
 Title
 Date
 
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