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Credit Application
The Complete Stainless Steel Fastener Source For MILL Shipments









Credit Application

Company Name

Billing Address
Shipping Address 
Tel # 
Fax # 
 Type of Business 
 Name of the Owner
A/P Contact
  Purchasing Agent 

Credit References: 

Name  Mailing Address  Tel #  Contact

Bank A/C #:   Bank Name:

D&B A/C#:

The undersigned agrees to adhere to the stated credit terms:

Net 30 days Or Pre-arranged credit terms.

Signature of Authorized Representative:

 Title:   Date:



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