MEGAMET
INDUSTRIES, INC.
POST OFFICE BOX 635
BIRMINGHAM,
AL 35201
(205)
322-7700 FAX(205) 322-4600
WATTS
(888) 322-7750
CREDIT
APPLICATION
COMPANY
NAME:______________________________________________________
FEDERAL I.D. # :_______________________________________________________
ADDRESS:______________________________________________________________
CITY:_______________________________STATE:__________ZIP:______________
CORP._________________PARTNERSHIP________________PROP.____________
SALES TAX
#_______________________ YRS IN BUSINESS:__________________
TELEPHONE #
___________________ FAX # _______________________________
OFFICERS OF COMPANY: ( PLEASE LIST)
PRESIDENT:_____________________
VICE PRESIDENT:____________________
SECRETARY:____________________
TREASURER:_________________________
CONTROLLER/ BOOKEEPER:
__________________________________________
BANK REFERENCES:
BANK
NAME:_________________________ACCOUNT # _____________________
ADDRESS:
_________________________ CITY:_________________STATE:______
ZIP:______________________TELEPHONE:________________________________
TRADE REFERENCES:
NAME: ADDRESS: TELEPHONE: