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Thank you for giving us the opportunity to do business with your company.

Please find the attached sales application. If you have an information sheet, please attach in the box at the end of the form. Complete any items in the sales application not contained in your information sheet, then sign by typing your name.

Business Name:
E-mail:
Phone:
-
Billing Address:
For how many years?:

If less than 5 yrs, list previous address

Previous Address:
D/B/A:
Federal ID:
How long in business?:
No. of Employees:
Estimated Annual Sales:
Sales Area:
Has the firm or any of its Principals ever been bankrupt?:
If yes, please explain:

Principal 1

Principal 1 Name:
Principal 1 Title:
Principal 1 Home Address:

Principal 2

Principal 2 Name:
Principal 2 Title:
Principal 2 Home Address:

Principal 3

Principal 3 Name:
Principal 3 Title:
Principal 3 Home Address:

Trade References

List 3 major suppliers of steel

Trade Reference 1

Reference 1 Name:
Reference 1 Address:
Reference 1 Phone:
-

Trade Reference 2

Reference 2 Name:
Reference 2 Address:
Reference 2 Phone:
-

Trade Reference 3

Reference 3 Name:
Reference 3 Address:
Reference 3 Phone:
-

Customer References

List 3 of your largest customers

Customer Reference 1

Customer Reference Name (1):
Customer Reference Contact (1):
Customer Reference Phone (1):
-
Customer Reference Payment Terms (1):
Years of business with customer (1):

Customer Reference 2

Customer Reference Name (2):
Customer Reference Contact (2):
Customer Reference Phone (2):
-
Customer Reference Payment Terms (2):
Years of business with customer (3):

Customer Reference 3

Customer Reference Name (3):
Customer Reference Contact (3):
Customer Reference Phone (3):
-
Customer Reference Payment Terms (3):
Years of business with customer (2):

Bank References

Checking

Checking Reference Name:
Checking Reference Contact:
Checking Reference Phone:
-
Checking Approx. Balance:

Loans

Loans Reference Name:
Loans Reference Contact:
Loans Reference Phone:
-
Loans Approx. Balance:

Credit Line

Credit Reference Name:
Credit Balance:
Credit Amt. Available:

Customer agrees to pay within credit terms, which are 1/2% discount in 10 days or net 30 days.
Applicant agrees to pay any collection costs incurred to collect the account balance, including court costs,
collection fees and attorney’s fees of not less than 33% of the unpaid balance.

As an inducement to extend sales, the undersigned agrees to the need for verification of all information on this
application and authorizes, and releases all banks, businesses and persons identified on this application to
furnish any and all information requested by Miami Valley Steel Service, Inc. or its representative, by telephone
or written correspondence whichever Miami Valley Steel Service, Inc. requests.

The undersigned warrants that the information is true and correct. As an inducement to extend sales, the
undersigned agrees that Miami Valley Steel Service, Inc. has the right to obtain the credit history of the
undersigned and authorizes the release of such information by digital signature here:

Digital Signature Name:
Digital Signature Title:
Digital Signature Date:

PERSONAL GUARANTEE

In consideration of credit being extended by Miami Valley Steel Service, Inc. to the above named applicant, the
undersigned guarantor(s) each contract and guarantee to Miami Valley Steel Service, Inc. the faithful payment,
when due, of all accounts of the applicant for the next 5 years from the date of application. The undersigned
guarantor(s) each expressly waive all notice of acceptance of this guarantee, notice of extension of credit to
applicant, presentment or demand for payment and any notice of default by applicant and all other notices
guarantor(s) might otherwise be entitled to. Revocation of guarantee shall be in writing and delivered by
certified mail to Miami Valley Steel Service, Inc.

Guarantor (1):
Guarantor (2):
Credit Line Requested:
Attach info sheet: