ADAMS CITY STEEL
Division of Rocky Mountain Recycling
APPLICATION FOR CREDIT

Name
Address
City
State
Zip
Telephone
Contact Name
Resale Number	(if applicable)
Monthly Charges	Dollar amount expected to charge each month approx.
Authorized Purchaser	Name of person(s) authorized to sign charge tickets.
Years in business	Years in business under current ownership.
Credit References
Company Name
Address
Telephone
Fax
Company Name
Address
Telephone
Fax
Company Name
Address
Telephone
Fax
Bank References
Company Name
Address
Telephone
Account Number
Anti-spam	Enter the number from the image.
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