BETTER METAL CREDIT APPLICATION

Instructions:

1.     Complete this online form available at www.bettermetal.com

2.     Sign & return via: Mail: 1040 Cornelia St., Nashville, TN 37217

                                     Fax: (615) 361-8896

Name/Address of Applicant & Company Info

Business Name:

Type of Business:

Fed ID or SSN#:

In Business Since:

Address:

Legal Form Under Which Business Operates:

Corporation
LLC
Partnership
Sole Proprietorship

City:

If Division/Subsidiary/Trade name, Name of Parent Co.:

State:

In Business Since:

ZIP:

Tax-Exempt? (Attach certificate)

Circle one:  YES  /  NO

Country:

D&B #:

Phone:

E-mail:

Fax:

Website:

Req. Credit:

Credit Limit ($) Assigned:

Contact Information

Accts Payable:

Phone:

President/GM:

Phone:

Purchasing:

Phone:

Operations:

Phone:

Ownership

 

Owner / Investor (1)

Owner / Investor (2)

Owner / Investor (3)

Name/Title:

Address:

Phone:

Bank References

 

(# 1) Checking

(# 2) Savings

(# 3) Other

Institution:

Account #:

Address:

Phone:

Contact:

Trade References

Trade Reference (1)

Trade Reference (2)

Trade Reference (3)

Company Name:

Contact Name:

Address:

Phone:

Acct Opened Since:

Credit Limit:

Current Balance:

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein. I agree that all sales from Better Metal, LLC to you shall be subject to Better Metal, LLC's terms and conditions of sale, which are hereby incorporated.

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APPLICANT COMPANY

 

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SIGNATURE OF AUTHORIZING OFFICER

___________________________________

DATE

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NAME OF AUTHORIZING OFFICER

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TITLE