CREDIT APPLICATION - Online Submission

Company Name*
Company Phone Number*
Company Address
Street Address Address Line 2 City State ZIP Code
Date Business Started*
MM slash DD slash YYYY
President Name*
First Last
Federal Tax ID*
Sales Tax Exemption Cert
Controller Name
First Last
Controller Phone
Controller Extension
Accounts Payable Contact:*
First Last
Accounts Payable Phone*
Accounts Payable Extension
Accounts Payable Fax Number
Accounts Payable Email*
Purchasing Agent Name
First Last
Purchasing Agent Email
Purchasing Agent Phone
Send Invoices Via:*
- Email
- Fax
- U.S. Mail
Vendor Company Name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Fax
Vendor Company Name*
Address*
Street Address Address Line 2 City State ZIP Code
Email
Vendor Company Name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.

DOWNLOAD THE CREDIT APPLICATION

Completed applications may be returned as follows:

By Fax:
(216) 898-7901 Attn: Credit Department

By Email:
apastrana@diamondmetals.com

By Mail:
Attn: Credit Department
Diamond Metals Distribution
4635 West 160th Street
Cleveland, OH 44135