Print This Page – Fill Out The Information and fax to us
at (513) 326-7505
:
Name: __________________________ Title: ___________________________________
Organization:_________________________________________________________________
Work Phone: ____________ FAX: __________________ E-mail: ______________________
Website Address:______________________________________________________________
Type Of Business:______________________________________________________________
Federal Tax ID #:__________________________ Business Inception Date _____/_____/_____
Company Legal Structure: Individual___ Partnership___ Corporation___
Est. Annual Sales:_______________
Names Of Company Owners/Officers_______________________________________________
_____________________________________________________________________________
Real Estate Mortgage Holder (If Building is Owned):___________________________________
Real Estate Value:___________________
LeaseHolder/Rental Information (If building is Rented Or Leased):________________________
Bank Name, Address & Phone ______________:______________________________________
______________________________________________________________________________
Bank Officer:_______________________________________________
Please Provide Name Address And Phone Numbers For 3 Trade References (at least 2 Steel Vendors)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Our terms are .75%-10/ NET 30 days. Do you agree to meet these terms?? Yes___ No___
Do you agree to notify us if you are unable to pay us on time? Yes___ No___
Upon completion
fax this form to (513)
326-7505