Credit Application

  • 10015 East 51st Street
  • Tulsa, OK 75146
  • 918-622-9010 | Toll Free: 800-722-4343 | Fax: 918-622-9059

To be set up for credit we require an initial order of $1,000 or greater.

Billing Address

If you prefer to have invoices e-mailed, please provide an e-mail address

Shipping Address

Accounts Payable Contact

What kind of business?

  • Corporation
  • Partnership
  • Individual
  • Other


Enter name(s) and title(s)


Bank Reference

Credit References

To insure timely processing of your application, please provide all required information (including a fax or email address) for at least five references.

Submitted by Authorized Representative