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About Us
Our Story
Our Team
Timeline
Sustainability
Services
Capabilities
Extrusions
Anodizing
Powder Coat
Fabrication
Customer Resources
Design Guide
Racking
Packaging
Send Us a Drawing
New Customer
New Customer Credit Application
Careers
Contact
About Us
Our Story
Our Team
Timeline
Sustainability
Services
Capabilities
Extrusions
Anodizing
Powder Coat
Fabrication
Customer Resources
Design Guide
Racking
Packaging
Send Us a Drawing
New Customer
New Customer Credit Application
Careers
Contact
New Customer Credit Application
Credit Application And Agreement
Step
1
of
3
33%
Company Name
DBA
Years in Business
Company Email
Phone
Fax
Mailing Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Shipping Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Primary Line of Business
Line of Credit Requested
Type of Business
Individual
Partnership
Corporation
Subsidiary
Owner's Name
(Major Shareholders, Directors, and Officers)
Incorporate in What State?
Credit References (Must List Three)
Reference 1
Company Name
Contact
Phone
Fax
Email
Address
(Address, City, State, Zip)
Reference 2
Company Name
Contact
Phone
Fax
Email
Address
(Address, City, State, Zip)
Reference 3
Company Name
Contact
Phone
Fax
Email
Address
(Address, City, State, Zip)
Bank Reference
(Cannot process without account number and signature)
Bank Name
Branch
Account Number
Address
Dun & Bradstreet
Yes
No
Listed Under
Year
The above information is true and is given for the purpose of obtaining an open credit line with Briteline Extrusions, Inc
I agree to abide by the payment terms to be established by Briteline Extrusions
I understand that no return merchandise will be accepted unless authorized in advance in writing
Name
(Required)
First
Last
Title
(Required)
Comments
This field is for validation purposes and should be left unchanged.
"
*
" indicates required fields
Team Member
Diane Bagwell - President, Sales & Administration
Ed Kabine - President, Manufacturing
Bo Bagwell - VP, Sales & Administration
Chris Kabine - VP, Manufacturing and Properties
Tradd Kabine - Briteline Sales
Jeff Miller - Controller
Larry Wilkerson - National Sales Manager
Latrese Smith - Training & Dev / Project Mgr.
Travis Pierce - Plant Manager
Ken Barber - HR Director
Leah Minca - Briteline Design
Tommy Kay - Briteline Purchasing
Name
*
First
Last
Phone
*
Email
*
Company
*
Attach a File
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Message
Comments
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