New Customer Information and Credit ApplicationPlease fill in all information. Once complete, hit submit and we will take care of the rest.
You may also DOWNLOAD .PDF FORM HERE and fax a copy to 757-566-5375
Enter your contact name, phone number & email address.
Terms of Sale: All orders are prepaid until credit terms are approved. Terms are 15 days from date of invoice if credit is granted. Prices are subject to change without notice. The minimum for 1st order/reorders is $500. This order minimum applies to all orders including customer will call, FS deliveries, UPS & orders shipped by LTL. Past due amounts are subject to interest at 1.5% per mo.