Curtis Steel Company - Las Vegas, NV
 

Apply for Credit

To apply for credit with Curtis Steel Co., Inc. simply complete the form below, and click submit to begin processing.  Or you may also download our credit application by clicking  the links below and selecting "Save".  Once you have completed the application, simply fax it to our credit department and a member of our credit team will begin processing your application immediately.  If necessary, we will contact you for additional information.

* This form, including any attachments, is the property of Curtis Steel Co., Inc., and is intended only for their use.  Unauthorized use or disclosure of this information is prohibited.  If you download this form in error, please destroy any copies of this form and/or file.  Use, dissemination, distribution, or reproduction is not authorized, and may be considered unlawful.  By downloading this file, you agree to these terms.

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CREDIT APPLICATION

**PLEASE NOTE**  By clicking "Submit" at the bottom of this page, you agree that you have read and understand all of the terms and conditions of a credit account with our company.

 

Date:
Name of Business:
Mailing Address:
City:
State:
Zip:
Shipping Address:
City:
State:
Zip:
Phone number:
Fax number:
Type of business:
Established in: (date)
Contractors license #:
Classification:
Bond amount:
Is business incorporated?:
If so, in which state?:
Resale Number:
State of Issuance:

Ownership data:
Name
Address
Phone Number
1.
2.
3.
4.
Expected monthly credit requirement?
Do you require a WRITTEN or VERBAL purchase order?:
Written
Verbal
Written or verbal
None

PLEASE LIST ANY OTHER PERSONEL AUTHORIZED TO
CONDUCT BUSINESS ON YOUR BEHALF
1.Employee’s Name:
Position:
Phone #:
2.Employee’s Name:
Position:
Phone #:
3.Employee’s Name:
Position:
Phone #:

Financial Information

*1.Major Bank Name:
Branch:
Address:
City:
State:
Zip:
Phone #:
Fax#:
Person to contact:
Type of account:
Account #:
2.Major Bank Name:
Branch:
Address:
City:
State:
Zip:
Phone #:
Fax#:
Person to contact:
Type of account:
Account #:

Credit References (Please do not use auto, equipment,
real estate, or credit card companies as a reference.)
1.Name:
Address:
City:
State:
Email:
Zip:
Phone #:
Fax#:
Avg. Monthly Charges:
Date Opened:
2.Name:
Address:
City:
State:
Email:
Zip:
Phone#:
Fax#:
Avg. Monthy Charges:
Date Opened:
3.Name:
Address:
City:
State:
Email:
Zip:
Phone #:
Fax#:
Avg. Monthly Charges:
Date Opened:
4.Name:
Address:
City:
State:
Email:
Zip:
Phone #:
Fax#:
Avg. Monthly Charges:
Date Opened:
5.Name:
Address:
City:
State:
Email:
Zip:
Phone #:
Fax#:
Avg. Monthly Charges:
Date Opened:

TERMS AND CONDITIONS

Terms of Credit

PAYMENT IS DUE 30 DAYS FROM DATE OF INVOICE. A FINANCE CHARGE OF 1 1/2 % PER MONTH (18%APR) WILL BE CHARGED ON ALL PAST DUE ACCOUNTS

Legal Disclaimer

BY ACCEPTING THESE TERMS AND CONDITIONS, I / WE AUTHORIZE CURTIS STEEL CO., INC. TO MAKE ANY SUCH INQUIRIES DEEMED NECESSARY TO OBTAIN OUR CREDIT INFORMATION, AND DO HEREBY AUTHORIZE OUR BANKS, SUPPLIERS, AND CREDIT REFERENCES TO SHARE ANY INFORMATION REGARDING OUR ACCOUNT(S). I / WE ALSO DO HEREBY AGREE TO PAY ANY AND ALL LEGAL COSTS INCLUDING COLLECTION AGENCY FEES AND COSTS, LEGAL COSTS, AND ANY ATTORNEY’S FEES INCURRED IN THE EVENT IT BECOMES NECESSARY FOR CURTIS STEEL CO., INC. TO ENFORCE COLLECTIONS, OR FILE A SUIT. I CERTIFY THAT ALL INFORMATION SUBMITTED ON THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY / OUR KNOWLEDGE.

Please be advised, Curtis Steel Co., Inc. will fax over a copy for an “original” signature upon approval.


Have you ever bought from Curtis Steel Co. Inc. in the past?
If so, who was your salesperson?
Email address:
Confirm email address:
 
Apply for Credit
©2017 Curtis Steel Co., Inc. All rights reserved.
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