Metropolitan Pipe: Business Credit Application

Metropolitan Pipe Business Credit ensures that your company has the supplies it needs to keep your business moving forward.

Please fill out the credit application below. Alternatively, you may download a form to fax into our accounting department by clicking here.

General Business Information

Legal Business Name*

Business Type*

Federal Tax ID*

DUNS Number

Years in Business

Number of Employees

Company Officer Name*

Title*

Company Officer Name

Title

Billing Address, Phone, Fax

Address*

Address Line 2

City*

State*

Zip Code*

Phone Number*

Fax Number

Email Address

Banking Information

Bank Name*

Account Types Held

Checking

Savings

Loans

Bank Contact Name

Phone Number

Trade References

Reference Name*

Full Address*

Phone Number*

Fax Number

Reference Name*

Full Address*

Phone Number*

Fax Number

Reference Name*

Full Address*

Phone Number*

Fax Number

Account Options

Invoice Copies Required

Account Options

Monthly Statement Required

PO# Required

My Company is Tax Exempt

Opt In - eBilling

Opt In - eCommerce

Opt In - Newsletter

Upload Sales Tax Resale Certificate*

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Maximum size 8MB, Allowed types: PDF, DOC, DOCX, JPG, PNG, XPS

Billing Email Address*

Online Signature

The undersigned certifies that the above information is correct, that it is submitted for the purpose of obtaining credit, and agrees to the terms and conditions of sale by Metropolitan Pipe & Supply Co.

Date*

Authorized Signature*

The Electronic Signatures Act (Public Law No: 106-229) went into effect on October 1, 2000 and gives electronic contracts the same weight as those executed on paper. Your IP address has also been recorded for security purposes.

Type the characters*

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Forms & Downloads Metropolitan Pipe: Business Credit Application