Credit application form

Please complete the form below to obtain terms for NMG.
Our standard payment terms are Net 30.

Contact information

Contact first name *

Contact last name *

Accounts Payable phone *

Accounts Payable email *

Bank information

Bank name *

Bank phone number *

Account number

Bank street address

City

State/province

Zip/postal code

Country

Trade references

Reference 1

Company name *

Company phone number *

Bank street address

City

State/province

Zip/postal code

Country

Acknowledgement and authorization

Applicant’s signature attests financial responsibility and willingness to pay according to our terms of Net 30 days. Said signature also provides authorization to customer’s bank and/or trade references to release any and all information required to process this application for an open credit line.

First name *

Last name *

Business title at company *

Signature *

Today’s date *

Other ways to reach us

Select the option below that best fits your reason for reaching out.

Submit a PO

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Vendor / supplier

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First Name *

Last Name *

Company Name *

Phone Number *

Email Address *

Attachment(s)

Comments *

or call 1-323-663-3971

Current customers or vendors/suppliers,
please click here for additional contact options.