Application for New Account with CMC Howell Metal

* = Required Fields * Name of Account * Street Address * Billing Address * City * State * Zip Code * Telephone # Fax # * E-mail * Name of Buyer(s) For Our Confidential Files: 1. Bank Name Bank Telephone # 2. Trade References a. Name of Trade Reference #1 Address Telephone # Fax # b. Name of Trade Reference #2 Address Telephone # Fax # c. Name of Trade Reference #3 Address Telephone # Fax # 3. Tax Exempt Certificate (or other credentials showing you are a wholesaler only.) Fax documents to 540-740-4783 4. Credit Line Requested Submit Form