New Customer Application




















 Billing information matches the information provided above











 Purchasing information matches the information provided above







































You must fax or email us your state's resale tax form or a completed uniform sales and use tax certificate before we can process your application. Please scan and email it to accounting@midlandmetal.com or fax it to 1-800-877-5391. You will receive a reminder email with this form attached after you submit your application.





























Terms and Conditions


After you have read the Terms and Conditions above, you must complete and return our Terms Agreement before we can process your application. Please scan and email it to accounting@midlandmetal.com or fax it to 1-800-877-5391. You will receive a reminder email with this form attached after you submit your application.


Credit, if extended, depends upon the degree of confidence this Credit Application affords.

In consideration for the extension of credit by Midland Metal Manufacturing Company, Applicant agrees to pay invoices within terms. Invoices not timely paid will be subject to service charges of 18 percent per annum. Should an account be referred to third parties for collection, Applicant agrees to pay all cost of collecting, including attorney's fees.