CREDIT APPLICATION

DEL METALS CREDIT APPLICATION

Click here to download our Fax-in application form or fill out the form below and you will be contacted by us to complete your credit card information.

CONTACT INFORMATION:

Referring Sales Rep. from Del

Company Operating Name:

Registered Legal Name:

Address:

Telephone:

City/Province:

Fax:

Postal Code:

E-Mail:

Nature of Business:

In Business Since:

# of Employees:

Credit Amount Request:

H.S.T. #:

CorporationPartnershipProprietorship Division/Subsidiary

Parent Company:

Premises:

RentedOwned

Approx Sq. Footage:

Landlord Telephone #:

COMPANY PRINCIPALS:

Name:

Title:

Address:

Telephone:

Name:

Title:

Address:

Telephone:

FINANCIAL INFORMATION:

Bank:

Account No:

Acct Manager:

Address:

Telephone:

Estimated Net Worth:

Annual Sales:

Stmts Available:

YesNo

TRADE REFERENCES:

Name:

Contact:

Telephone:

Name:

Contact:

Telephone:

Name:

Contact:

Telephone:

CONFIRMATION OF INFORMATION ACCURACY AND RELEASE OF AUTHORITY TO VERIFY I hereby certify that the information in this credit application is correct. The information included in this credit application is for use by Del Metals in determining the amount and conditions of credit to be extended. I understand that Del Metals may also utilize the other sources of credit which it considers necessary in making this determination. Further I hereby authorize the bank and trade references listed in this credit application to release the information necessary to assist Del Metals in establishing a line of credit.

Full Name:

Inserting your full name and clicking to agree substitutes formal signature

I AGREE

POLICY STATEMENT: INITIAL ORDER FROM NEW ACCOUNTS WILL NOT BE PROCESSED UNLESS ACCOMPANIED BY THE ABOVE REQUESTED INFORMATION.
TERMS: NET 30 DAYS FROM DATE OF INVOICE UNLESS OTHERWISE STATED.

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