Credit Request Form

1. All invoices are to be paid 30 days from the date of invoice

2. Claims arising from invoices must be made within seven working days

3. By submitting this application, you authorize Regal Steel Co. to make inquiries into the banking and business/trade references that you have supplied

4. Customer is responsible for all collection fees and incurred legal costs

 

Company:
Billing Address:
Billing City:
Billing State:
Billing Zip:
Billing Country:
Shipping Address:
Shipping City:
Shipping State:
Shipping Zip:
Shipping Country:
Telephone (with area code):
Fax (with area code):
FED ID#
Trade References
Company:
Telephone (with area code):
Fax (with area code):
Company:
Telephone (with area code):
Fax (with area code):
Company:
Telephone (with area code):
Fax (with area code):
Bank References
Bank:
Contact:
Phone (with area code):
Acct #:
 
Enter Security Code: