Thank you for choosing StateLine Steel!  Please take a moment to fill out our easy credit application! 

Company Name: *

Physical Address: *

Mailing Address: *

Phone: *

Fax: *

Date Business Established: *

Sole Proprietorship, Partnership, Corporation, Other?: *

Bank Name: *

Bank Address: *

Bank Phone: *

Bank Fax: *

Bank Contact: *

Type of Account (savings, checking, etc): *

Account Number: *

Business/Trade Reference #1 Name: *

Address: *

Phone: *

Fax: *

Contact: *

Email:

Business/Trade Reference #2: *

Address: *

Phone: *

Fax: *

Contact: *

Email:

Business/Trade Reference #3: *

Address: *

Phone: *

Fax: *

Contact: *

Email:

By submitting this application, you authorize StateLine Steel, LLC to make inquiries into the banking and business/trade references that you have supplied.

Authorizing Name: *

Title: *

Date: *