Customer Credit Application

Customer Credit Application with O'Neal Steel
Customer Type:	New Existing
Tax Status:	Taxable NonTaxable
Telephone #:
Fax #:
Legal Name:
Doing Business As:

Mailing Address
Addr 1:		Addr 2:
City:		State:		Zip:
Delivery Address? Yes No

Addr 1:		Addr 2:
City:		State:		Zip:
Instructions:

Business Information
Select One:	Corporation	Partnership	Proprietorship
Establishment:		SIC Code:
State of Incorp:
Parent Company if Applicable
Name:		Address:
Credit Limit Requested:		Credit App Contact:
Principal Owners or Officers
Name:	Title:	Address:	SSN#:
Trade References
Name:	Address:	Telephone:	Fax:
Bank References
Name:	Address:	Account#:	Phone:
Your name :
Your E-Mail address :
		Send me a copy of this report

 

Upon completing the information above, please print this form; then fax or mail it to O'Neal with an Authorized Signature Form.

Fax: 205-599-8392, Attn: Accounts Receivable. Mail: Accounts Receivable Department, O'Neal Steel, Inc., P.O. Box 2623, Birmingham, AL 35202.