Search
Skip To Content
ISO 9001:2008 Certified
214.253.2332
Request a Quote
214.253.2332
MetalTech@sometco.net
RFQ
About
Company History
Services
Precision Metal Stamping Services
Die Tool Maintenance
Projects
Metal Flange Hex Mounts for HVAC
Copper Terminal Lead for Electronic Applications
Aluminum Post-Surgery Eye Protection Cover
Metal Insert for Automotive Oil Pan Gasket
Metal Brackets for Electrical Ceiling Boxes
Accessories for Modern Roofing Installations
Resources
FAQs
Apply for Credit
News
Apply for Credit
Home
>
Apply for Credit
"
*
" indicates required fields
URL
This field is for validation purposes and should be left unchanged.
Please fill out this form completely when applying for credit
Fields with (*) are required
Company Name
*
Date
MM slash DD slash YYYY
Credit Amount Requested
Annual Sales
Mailing Address
Shipping Address
Nature of Business
Contact Name
*
Number of Employees
Email
*
Description of Business
Business Inception Date
MM slash DD slash YYYY
Purchasing Agent:
Name
Title
Email
Phone
Accounts Payable:
Name
Title
Email
Phone
*
Do you require a Purchase Order?
Yes
No
Will your Purchases be taxable?
Yes
No
If you selected No, Please enclose a completed Resale and or Sales Tax Exemption form.
Ownership Type
Individual
Corporation
Partnership
Subsidiary of
Date of Incorporation
MM slash DD slash YYYY
List Owners and Officers including Title
This field is hidden when viewing the form
Person 1 Start
Name
Title
This field is hidden when viewing the form
Person 1 End
Person 1 End
Person 2 Checked
Add another Person?
This field is hidden when viewing the form
Person 2 Start
Name
Title
Person 3 Checked
Add another Person?
This field is hidden when viewing the form
Person 2 End
This field is hidden when viewing the form
Person 3 Start
Name
Title
Person 4 Checked
Add another Person?
This field is hidden when viewing the form
Person 3 End
This field is hidden when viewing the form
Person 4 Starts
Name
Title
This field is hidden when viewing the form
Person 4 Ends
Have any owners filed for bankruptcy in the last seven years?
Yes
No
Credit References:
This field is hidden when viewing the form
Credit Refernces 1 Start
Name
Title
Email
Phone
Add another 2?
Add another Credit Reference?
This field is hidden when viewing the form
Credit Refernces 1 End
This field is hidden when viewing the form
Credit Refernces 2 Start
Name
Title
Email
Phone
Add another 3?
Add another Credit Reference?
This field is hidden when viewing the form
Credit Refernces 2 End
This field is hidden when viewing the form
Credit Refernces 3 Start
Name
Title
Email
Phone
This field is hidden when viewing the form
Credit Refernces 3 End
Bank References:
This field is hidden when viewing the form
Bank References 1 Starts:
Name
Title
Email
Phone
Add another Bank Reference?
Yes
This field is hidden when viewing the form
Bank References 1 Ends :
This field is hidden when viewing the form
Bank References 2 Starts :
Name
Title
Email
Phone
This field is hidden when viewing the form
Bank References 2 Ends:
Captcha: