Credit Application

Legal Business Name*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Shipping Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Fax*
Company Website
Principals
Name
Title
Name
Title
Accounts Payable Contact
Phone
Email
Fax
Email for invoicing*
References (Please list frequently used suppliers; steel vendors preferred)
1.
Name City, State
Phone Fax
2.
Name City, State
Phone Fax
3.
Name City, State
Phone Fax
4.
Name City, State
Phone Fax
Bank
Contact
Phone
Address
Account No.
PIONEER STEEL CREDIT TERMS:
1/2% discount 10 days, net due 30 days from invoice date. Payment must be received within our terms of sale. (We accept Visa and MasterCard at Pioneer's discretion)
Remit To Address: P.O. Box 64176 Detroit, MI 48264-0176
Your company will pay:
- Discount
- Prompt (30 days)
Year your business was founded
Fiscal year ends
Annual sales
By signing this application I acknowledge and agree with Pioneer Steel Credit Terms and Conditions, and Pioneer Steel Sales Terms and Conditions.
Signature*
Name*
First Last

Principals