Company Name * Physical Address
* Billing Address
* What type of Industry does your company belong to? * AERO AGGREGATE AGRI AUTO CEMENT CHEMICAL COMM CONSTRUCTION CRANE EDU FOUNDRY IND MACHINERY MARINE MILITARY MINING MULTIPLE OIL & GAS LAND OIL & GAS OFSHR OTHER POWER – NON NUC POWER – NUCLEAR PULP & PAPER RAILWAY SCRAP STEEL MFG UTILITY WIND What subsection does your company belong to? * **AUTH DIST **DISTRIBUTOR **END USER **ENG/PROC **GOV **OEM **REP **SERVICE **UTILITY Your Contact Name *
Your Email Address *
Accounts Payable Contact
Accounts Payable Email
Invoice Submission Email Address: *
This is the email where invoices will be sent to.
Section Break As a manufacturer we produce up to 5% over actual quantity requested to cover any possible shortages. Please advise if shipping extras is acceptable: * Do you have a preferred freight carrier? If so, please provide a first option. Do you have a preferred freight carrier? If so, please provide a second option Can we ship your order early if it is ready? * Are you looking to establish credit or are you planning on pre-paying for your invoices? *
If “Advance Payment” is selected Credit Card payments have a credit card processing fee included in all sales, please reach out to your salesperson to determine the amount based on your order total. We do accept ACH payments and can provide wiring instructions if needed. If "Establish Credit" is selected, additional questions will appear.
What amount of credit are you looking to establish?
Please forward all credit references to firstname.lastname@example.org or attach here:
Allowed file types: jpg, gif, .png, .pdf