OPEN AN ACCOUNT

Net-30 terms for contractors and businesses that buy from us regularly.

NET 30

TERMS

DAY REVIEW

HASSLE

CREDIT APPLICATION0 OF 0 REQUIRED FIELDS

CREDIT APPLICATION

Open a net-terms account with Titan Fastener & Supply. It takes about five minutes. We review applications within two business days and call you with the decision. Prefer paper? Email sales@titanfastenersupply.com and we'll send a form.

BUSINESS INFORMATION

Legal business name *

DBA / trade name

Business type *

Years in business *

Federal tax ID (EIN) *

Trade / contractor license #

Billing address *

Shipping / jobsite address (if different)

Website

Sales-tax status

CONTACTS

Owner / principal name *

Owner title

Accounts payable contact *

AP phone *

AP email (invoices go here) *

Purchasing contact

Purchasing phone

CREDIT REQUEST

Requested credit limit ($) *

Estimated monthly purchases ($)

Bank name *

Bank phone / contact

PO required on invoices?

How did you hear about us?

TRADE REFERENCES (3)

Reference 1 - company *

Reference 1 - phone or email *

Reference 2 - company *

Reference 2 - phone or email *

Reference 3 - company

Reference 3 - phone or email

AUTHORIZATION

Authorized signer (type your full name) *

Title *

I certify the information above is accurate and authorize Titan Fastener & Supply to verify it with the bank and trade references listed. I agree that invoices are due net 30 from the invoice date unless otherwise agreed in writing, and that past-due balances may be charged 1.5% per month. Typing my name above serves as my signature.

Sent securely to our office. Questions? Call (615) 734-3451.