SouthernAluminum

Previous Credit Application & Request

Name of Company

Address

City:

State:

Zip:

Phone:

Fax:

Individual Requesting Credit:

Name of Principal Owners and/or Officers:

Partnership

Corporation

Proprietorship

Bank Reference:

Checking Account #:

Bank Phone Number:

Contact Person:

**Please submit 5 trade references including telephone
number, fax number, and contact name.

Name:

Address:

City:

State:

Zip:

Contact Name:

Email address:

Phone:

Fax:

Name:

Address:

City:

State:

Zip:

Contact Name:

Email address:

Phone:

Fax:

Name:

Address:

City:

State:

Zip:

Contact Name:

Email address:

Phone:

Fax:

Name:

Address:

City:

State:

Zip:

Contact Name:

Email address:

Phone:

Fax:

Name:

Address:

City:

State:

Zip:

Contact Name:

Email address:

Phone:

Fax:

Incomplete or incorrect information could delay approval process.

For assistance click on Contact Us or call 1-800-221-0408