For fast and easy credit approval, fill out our online form. All customers will remain COD until references are approved. Please include all phone and fax numbers. If you use Grainger as a reference, please include your account number. Please fax your Tax Exemption certificate to 229-937-5470. It is required before an order may be accepted.
General Information Company Name: Phone: How long at current location: Fax: Contact: If you a subsidairy please list the following information: Contact's Job Title: Parent company: Contact's Email: State: Your TCI sales rep: Zip:   Address Shipping Address: Billing Address: Street: Street: City: City: State: State: Zip: Zip:   Order Estimation Initial Order: Average Order: Monthly Requirement: Yearly Requirement:   References Bank Reference: First Reference: Name: Name: Street: Street: CIty: CIty: State: State: Zip: Zip: Phone: Phone: Contact: Contact: Second Reference: Third Reference: Name: Name: Street: Street: City: City: State: State: Zip: Zip: Phone: Phone: Contact: Contact:   Comments Comments: