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Customer Application







































































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 reseller@midlandindustries.com or fax it to 1-800-877-5391. If your state does not require a resale tax form, please let us know in your email. You will receive a reminder email with this form attached after you submit your application.



























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Terms and Conditions





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

Applicant agrees to all terms and conditions as stated in the Terms and Conditions. In consideration for the extension of credit by Midland Industries 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.



Please only press Submit once to avoid creating multiple applications.