To submit a credit application to us please fill out the form below then click submit.   Someone on our team will be in touch
as soon as possible.  Company Name and Phone number are required.

Company Information -- Company Name:     Federal ID#:   Address:   City / State:     AL FL Zip:   Entity Type: LLCCCORPSCORP Sales Tax Id#:   Years in Business:   Phone#:     Fax:         Company Officers -- President:   Vice President:   Secretary:   Treasurer:   Controller / Bookkeeper:

Trade References --  (name, address, phone#)     Bank References -- Bank Name:   Account # :   Address:   City / State:   AL FL Zip:   Phone # :   Please read the following terms and agreement.  Be sure to enter the Principal's name and check the box labeled "I Agree" below. TERMS AND AGREEMENT: 1) TERMS ARE NET 30 AS STATED ON EACH INVOICE. IF IT WOULD BE MORE CONVENIENT FOR YOU TO PAY TWICE A MONTH, PLEASE MAKE A NOTE OF YOUR PAYMENT ARRANGEMENT AT THE BOTTOM OF THE PAGE. 2) OUR CREDIT APPLICATION MUST BE COMPLETED AND RETURNED BEFORE ANY MERCHANDISE IS SOLD TO ANY CUSTOMER. PAYMENTS: 1) EACH INVOICE IS DUE IN FULL ON OR BEFORE THE 30TH DAY FROM THE SHIP DATE ON INVOICE. 2) ALL PAYMENTS WILL BE APPLIED TO THE OLDEST INVOICE, UNLESS THE CUSTOMER ON REMITTANCE IDENTIFIES PAYMENT TO PARTICULAR INVOICES. 3) ALL PAYMENTS WILL BE MAILED TO THE FOLLOWING ADDRESS: POST OFFICE BOX 635, BIRMINGHAM, AL 35201. PAST DUE ACCOUNTS: 1) PAST DUE ACCOUNTS OF FORTY (40) DAYS OR MORE WILL BE PLACED ON “CREDIT HOLD” OR “C.O.D” WITHOUT NOTICE, AND WILL REMAIN SO UNTIL ARRANGEMENTS SATISFACTORY WITH THE CREDIT DEPARTMENT IN BIRMINGHAM, ALABAMA HAVE BEEN MADE. 2) ATTORNEY'S FEES AND/OR COLLECTIONS COSTS WILL BE BORNE BY THE CUSTOMER IF HIS ACCOUNT MUST BE PLACED FOR COLLECTION. Company Principal:   I AGREE