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Small Enough to Care, Large Enough to Serve | Action Stainless & Alloys, Inc | Your Trusted Partner and Vendor
 

Credit Application


Please fill out the application form and click Submit when you are ready.

Please note: If a customer is exempt from sales tax, their sales tax exemption form must be received by the credit department. If not received their account will be set up as taxable.

Please remit payment to:   Department 41121  |  PO BOX 650823  |  Dallas, Texas 75265

* indicates required field


Apply to a branch in*
select

Company Name*
Bill to Address*
City*
State*
select
Zip*
Phone*
Fax
Ship to Address (if different)
City
State
select
Zip


If Branch/Division
Name of Parent Company
Address
City
State
select
Zip


Officers
President*
Vice President
Treasurer/Controller
Purchasing Agent

Type of Business
select
Years in Business
Federal ID Number (if corporation)
SSN (if sole proprietor)
Your Email*
State Incorporated:
select
Year
Taxable
select
Tax Exempt/Permit #

Credit Line Requested*
Anticipated Annual Purchases*


Bank Reference
Bank Name*
Address*
City*
State*
select
Zip*
Phone*
Account Number*


NOTE: All business trade references must be within industry
Business Trade Reference (1)
Company Name*
City*
State*
select
Phone*
Fax
Account Number*

Business Trade Reference (2)
Company Name
City
State
select
Phone
Fax
Account Number

Business Trade Reference (3)
Company Name
City
State
select
Phone
Fax
Account Number

Business Trade Reference (4)
Company Name
City
State
select
Phone
Fax
Account Number


Comments or Questions
Person to Contact Regarding Accounts Payable*


Your Name*
Your Title*
Date*
Signature*

I (We) understand that the information furnished to ASAI on this application is to permit ASAI to consider open account credit terms. I give permission to my references and to the bank to release credit information to Action Stainless & Alloys, Inc.. All bills due: Payable at Dallas, Dallas County, Texas. It is expressly agreed that all obligations of the parties created herein are performable in Dallas County, Texas. All accounts or monies due Action Stainless & Alloys, Inc. shall be paid according to terms and conditions of sale. You agree to pay all court costs, attorney fees, and collections costs if the account is turned over for collection.
By clicking the "Submit" button below, you agree to these Terms & Conditions (click here)

 
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