Phone:

(800) 840-1881

New Account

Tax Exemption Form

If you are purchasing product that is sales tax exempt shipped to destinations in Texas, please fill out the Sales Tax Exemption certificate.

Tax Exemption Form

Apply for a New Account

Simplify your buying experience with Bolts 'n Nuts Plus Online Credit application. There is no cost or obligation and your personal information is protected.

Online Credit Application

General Information:

Company Name:

Address:

City:

State:

Zip:

Phone Number:

Fax Number:

Billing:

Preferred Method:

Billing Address:

City:

State:

Zip:

Billing Contact Name:

Email Address:

Phone Number:

Fax Number:

Shipping:

Same as Billing

Address:

City:

State:

Zip:

Phone Number:

Fax Number:

Company Information:

Officer 1 Title:

Name:

Officer 2 Title:

Name:

Accounts Payable Contact:

Phone:

Authorized Buyers:

Company Type:

"C" Corporation

"S" Corporation

LLP

Partnership

Other

Taxable

Non-taxable

Sales Tax Exemption #:

Other (Specify):

State Incorporated:

Year Incorporated:

Purchase Order # Required?:

Yes

Written?:

Yes

Anticipated Monthly Purchase Volume :

References:

Trade Reference

Address

Phone #

Fax #

Bank Reference

Address

Account #

Phone #

Fax #

New Account

Tax Exemption Form

Apply for a New Account

Online Credit Application

General Information:

Billing:

Shipping:

Company Information:

References:

Buying Alert