Credit Application– URATECH USA INC

Dear Customer,

Thank you for your interest in doing business with Uratech.

We have received your credit application.

Our staff will review it and get back to you within 2 business days.

In the meantime, if you have any questions, please feel free to call us at

1-800-813-0537 or send an email to info@cnctoolstoragesolutions.com.

Thank you, and have a great day!

Management
Uratech USA Inc – USA & Mexico
Uratech Canada Inc – Canada
www.cnctoolstoragesolutions.com
1-800-813-0537

Company *

Mailing Address

Street Number *

Street Name *

City *

Province *

Country *

Zip Code *

Business Phone Number *

Business Started *

Business Tax ID *

Purchasing Officer Contact Number *

Purchasing Officer Phone Number

Extension

Purchasing Officer Email Address *

Accounts Payable Contact Name *

Accounts Payable phone Number *

Accounts Payable Extension

Accounts Payable Email ID *

References (Name & Phone Number)

Reference1 Name *

Reference1 Phone Number *

Reference 2 Name *

Reference 2 Phone Number *

Reference 3 Name *

Reference 3 Phone Number *