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.

Onine Credit Application
General Information
Company Name:    
Billing Address:    
City:     State: Zip:  
Shipping Address:    
City:     State: Zip:  
Phone Number:   Fax:  

Company Information
Title Name
Officer1:      
Officer2:  

Authorized Buyers:     Accounts Payable Contact:   Phone:  
Sales Tax Exemption # :  

Company Type:   (Specify):  

State Incorporated:  Year Incorporated:     Purchase Order # Required?   

Written?    Anticipated Monthly Purchase Volume:    


References
Trade Reference  Address  Phone#  Fax# 
1.
2.
3.
4.

Bank Reference  Address  Account#  Phone#  Fax# 
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2.
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