New Account Form
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4NEW ACCOUNT FORM
North Shore Steel
P. O. Box 9940
Phone (713) 453-3533
Houston, Texas 77213-0940
Credit Department Fax (713) 671-5581
Today’s date _________/________/________ Name of person completing this form____________________________
_____________________________
____________
Full legal name of Company applying for credit
Date Company established
__ __ __ - __ __ __ - __ __ __ __
__ __ __ - __ __ __ - __ __ __ __
Phone Number
Accounts Payable Fax Number
_________________________
___________________
_____
_______-______
Physical street address
City
State
Zip
______________________________
___________________
_____
_______-______
Billing address
City
State
Zip
___________________________
___________________
_____
_______-______
Home office address
City
State
Zip
______________________
If you have a website, what is the site address?
Toll free phone if you have one _______-_______________
________________
____ -_____-_______
Accounts payable contact
Phone
Email _____________________________________
____________________
It is our company procedure to email invoices instead of sending them through the mail. Email(s) we should use
_______________________
We will send you a link where you may view or print any open invoices 24 hours a day 7 days a week.
Would you like your buyer to be copied on the invoices when we email them to you? Yes
No
________________________
_____ -______-________
_____ -______-________
Usual check signer
Phone
Cell
Are you Taxable? Yes
No
If you do not want to be charged tax you must complete, sign and return the attached resale certificate.
__________________________________
Type of business you are engaged in or product you manufacture or industry you serve _
Check only one of the following A, B, C or D and complete the section of the box you check.
A Public Company
what is your stock symbol?___________ what exchange are you traded on?_________
B Corporation
are you an LLC? Yes
No
Corporate Officers Names
Residence Address…..
…………
……
Residence or Cell Phone number
city
state
zip
____________________
________________________________
_____ -______-________
President
_________________
________________________________
_____ -______-________
Vice President
______________
________________________________
_____ -______-________
/
Secretary
Treasurer
_________________
________________________________
_____ -______-________
Other Officer
……
Majority Stockholders Names
Residence Address
………
……
Residence or Cell Phone
Ownership
city
state
zip
__________________
________________________________
____ -_____-_______
%____
__________________
________________________________
____ -_____-_______
%____
__________________
________________________________
____ -_____-_______
%____
C Partnership
are you an LLP? Yes
No
%
Partners Names
Residence Addresses….…
………
……
Residence or Cell Phones
of ownership
city
state
zip
__________________
________________________________
____ -_____-_______
%____
__________________
________________________________
____ -_____-_______
%____
D Sole Proprietorship
Owners Name
Residence Address……………..…..…
……….…
……
Residence or Cell Phone
city
state
zip
_____________________
_________________________________________
____ -_____-_______
Have any of the principles or employees purchased from us under any other name style? Yes
No
If yes, what company(s)?
_________________________________
Do any of the above listed principles own any other active businesses? Yes
No
______________________________________
If yes, please provide the company names to help us with our credit investigation.
Have any of the principles listed above ever been involved in any business or personal dealings that have involved bankruptcy proceedings?
_______________________________________________
Yes
No
If yes, please explain and list case number:
_____________________
If your company is less than one year old, where were the principles working before this company was formed?
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Rev.05/20/10 MK
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