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Credit Application Form

Please fill in ALL information below and click “Submit”.  The information will then be sent to Carlon Meter Co., Inc.  Upon receipt of the Credit Application we will process the information and fax the status to the number listed below.

DATE    
OWNER(S) Name PHONE
COMPANY NAME YEARS IN BUSINESS
COMPANY ADDRESS ACCOUNTS PAYABLE CONTACT
       
BANK REFERENCE NAME ACCOUNTS PAYABLE PHONE
BANK ADDRESS    
BANK CONTACT PERSON    




PLEASE LIST THREE TRADE REFERENCES (Make sure to provide a fax number for each).

COMPANY NAME PHONE
ADDRESS

FAX
COMPANY NAME PHONE
ADDRESS

FAX
COMPANY NAME PHONE
ADDRESS

FAX

Our Terms are NET 30 Days. All shipments are F.O.B., Grand Haven, MI 49417.

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