Aboveground Tanks
bracket tanks
saddle tanks
skid tanks
overhead tanks
basement tanks
dual-wall saddle tanks
Fireguard® - rectangular
Fireguard® cylindrical
tank & dike
dike tank only
Rainshields - dike tanks
vertical tanks
dual-wall vertical tanks
Underground Tanks
STI-P3®
STI-P3® FRP coated
ACT-100®
ACT-100U®
STI-P3® dual-wall
STI-P3® FRP dual-wall
ACT-100® dual-wall
ACT-100U® dual-wall
Equipment
Manufacturer Listing
Equipment Listing
Resources
company info
 contacts
 order status
 parcel tracking
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 quotations
 credit application

 

Application for Credit

Please provide the following business information:

Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone
FAX
E-mail
URL

Business is:

Type of business:

List owners, partners and officers

Are you a subsidiary ?
Yes No
If so list parent company:

Bank Reference:
Contact Name
Title
Bank
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone

Please provide us with three business references, we will only accept one oil company for consideration as a reference.

Reference 1
Contact Name
Title
Organization
Account Number
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail

Reference 2
Contact Name
Title
Organization
Account Number
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail

Reference 3
Contact Name
Title
Organization
Account Number
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail

Who within your company is authorized to make purchases?

Is a purchase order required?
Yes No
I/We certify that the above is, to the best of my/our knowledge true, accurate, and complete in every respect. I/We hereby authorize Newberry Tanks Inc., to verify all credit & financial information provided herein. I/We do hereby agree to payment of all accounts within the terms of sale listed on your invoices & agree to authorize you to add monthly service charge to those balances that are past due. I/We understand that sales tax will be charged until we furnish our certificattion of exemption

I understand that submittal of this form is viewed as acceptance of the terms outlined above. 
Yes No
Copyright © 1999 Newberry Tanks Inc.  All rights reserved.
Revised: June 14, 2001