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Credit Application



Anderson Tube Co., Inc. offers the following methods of payment:
  • Open account upon credit approval
  • Electronic Wire Transfer
  • Cash in advance
  • Master Card/VISA/Discover/American Express [on specific orders]

To apply for credit, please complete the form below. You can also mail or fax the completed credit application to:

Anderson Tube Co., Inc.


1400 Fairgrounds Road
Hatfield, PA 19440

Download Credit Application Form (PDF)

Questions regarding completion of this credit application may be directed to joannmancuso@atube.com
 or call 800-523-2258.

CREDIT APPLICATION

New Account Information

Company Name:
Street Address:
City/State/Zip:
Billing Address:
City/State/Zip:
Telephone:
Fax:
Email:
Web Site Address:
Primary Accounts Payable Contact:
Telephone/Extension/Email:
Primary Purchasing Contact:
Telephone/Extension/Email:

Company Information

Year Established:
Line of Business:
Entity:  
 

Sole Proprietorship

Partnership

Non-Profit

Corporation (Year Inc: State Of Inc: )
Has Company Name Changed In Past 3 Years?
Does Company Currently Use Another Trade Name?
If Branch, Give Headquarters Location:
Has Company Changed Ownership In Last 5 Years:

Owners, Partners Or Officers

(NOTE: Your credit request cannot be processed without at least one contact listed)

Name:
Title:
Home Address:
Name:
Title:
Home Address:

Bank References

Bank Name/Branch Address:
Officer Contact:
Telephone/Fax:
 

Checking

Line Of Credit

Loans

Other

Credit References

(NOTE: Fax numbers are required for all credit references)

1.

Company:
City/State:
Phone:
Fax:
Email:
Contact:
Account No:

2.

Company:
City/State:
Phone:
Fax:
Email:
Contact:
Account No:

3.

Company:
City/State:
Phone:
Fax:
Email:
Contact:
Account No:

4.

Company:
City/State:
Phone:
Fax:
Email:
Contact:
Account No:

I Hereby Authorize You To Obtain Credit Information On Our Firm.

Name:
Title:
 
 
Anderson Tube Co., Inc.
1400 Fairgrounds Road
Hatfield, PA 19440		 Toll Free: 800-523-2258
Phone: 215-855-0118
Fax: 215-855-4147
Contact Anderson Tube
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