MPI Credit Application

Use this form to complete your MPI Credit Application quickly and securely. Please fill out all form fields.

MPI Sales Rep

Credit Amount Requested ($ Amount)(Required)

Date(Required)

Company Name(Required)

Business Type(Required)

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Fax

Cell Phone Number

Shipping Address

Street Address Address Line 2 City State ZIP Code

Please Send Invoices by:

Accts. Payable Email(Required)

Purchasing Dept. Email(Required)

Credit Requested By(Required)

Home Street Address(Required)

Street Address Address Line 2 City State ZIP Code

Home Phone(Required)

Cellphone

In Business Since(Required)

At This Address Since(Required)

Business Structure

Name of Partners or Corporate Offices, if applicable:

Name

Title

Address

Street Address Address Line 2 City State ZIP Code

2nd Partner or Corporate Office Listing, if applicable:

Name

Title

Address

Street Address Address Line 2 City State ZIP Code

Sales Tax Permit #

— OR — Fed. Tax ID #

Bank Reference:

Bank Name(Required)

Branch(Required)

Account #(Required)

Address

Street Address Address Line 2 City State ZIP Code

Trade References

(minimum of three references required)

1. Name(Required)

First Last

Phone(Required)

Email(Required)

Fax(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

2. Name(Required)

First Last

Phone(Required)

Email(Required)

Fax(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

3. Name(Required)

First Last

Phone(Required)

Email(Required)

Fax(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Guarantor Agreement

We hereby jointly and severally agree to guarantee payments for all accounts due Metal Panels Inc. from above named corporation, partnership or proprietorship within 30 days from date notice is given. In the event payment is not made and this account is turned over to an attorney, we also agree to pay reasonable attorney fees charged for collection.

Signature (Type Name)(Required)

(The above typed name serves as a binding signature for this agreement.)

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MPI Credit Application

Use this form to complete your MPI Credit Application quickly and securely. Please fill out all form fields.

Name of Partners or Corporate Offices, if applicable:

2nd Partner or Corporate Office Listing, if applicable:

Bank Reference:

Trade References

Guarantor Agreement

Quick Links

Oklahoma Location

Kansas City Location

Use this form to complete your MPI Credit Application quickly and securely. Please fill out all form fields.

Name of Partners or Corporate Offices, if applicable:

2nd Partner or Corporate Office Listing, if applicable:

Bank Reference:

Trade References

Guarantor Agreement

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Quick Links

Oklahoma Location

Kansas City Location