Bolts, Nuts, Fasteners and Parts - Pointe-Products.com

Toll Free: 800.842.1411 | sales@pointe-products.com | Contact Us

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Credit Application Form

Pointe Products respects your privacy and we are committed to protect your information as explained in our privacy statement.

Account Information:

*Company Name:
*Your Name:
*Your Title:
*E-mail Address:
Billing Information:

*Billing Address:
Contact Name:	(if different from above)
E-mail Address:	(if different from above)
*Voice Phone:
*Fax Number:
*Purchase Order Number:	No
	Yes
Indicate above if your company requires a purchase order number on all invoices.
Shipping Information (if different from above):

Shipping Address:
Company Information:

*Type of Business:	Corporation Partnership Individual
*Company President:
Vice President:
*Controller/Treasurer:
*Description of Business:
*Year Started Business:
*State Incorporated In:
D&B Number:
*Sales Tax Exempt:	No
	Yes Exempt Number
NOTE: A copy of your original certificate must be mailed, faxed or e-mailed before the application can be finalized.


Credit References:
One bank and three trade references are required to apply for credit.
Bank Reference:
*Bank Name:
*Contact Name:
*Address:
*Voice Phone:
Fax Number:
Trade Reference 1:
*Company Name:
*Contact Name:
*Address:
*Voice Phone:
Fax Number:
Trade Reference 2:
*Company Name:
*Contact Name:
*Address:
*Voice Phone:
Fax Number:
Trade Reference 3:
*Company Name:
*Contact Name:
*Address:
*Voice Phone:
Fax Number:
Trade Reference 4:
Company Name:
Contact Name:
Address:
Voice Phone:
Fax Number:
Additional Information:


Sales Representative:	(office use only)
* Required Field
Payment Terms: Net 30 days with approved credit. Add 1 1/2 % per month for past due accounts.
Warranty: By submitting this form, you are agreeing that the above information is, to the best of your knowledge, true and accurate.

This site is owned and operated by:
Pointe Products, Inc.
50421 E. Russell Schmidt Blvd.
Chesterfield, MI 48051-2450

Phone:       586.949.2040
Fax:           586.949.6555
Toll Free:   800.842.1411
customerservice@pointe-products.com