New Customer Application
New Customer Requirements:
-Completed New Customer Application
-First order must be paid for by credit card
-Once we have reviewed your application and completed a credit check, you will have the option to be set up on Net 30 terms for future orders. (Net 10 and Net 20 Terms are available based on qualifying credit)

After credit approval, we will send you a link to complete a new order form, or you can find the form on our website at www.hayestoolingandplastics.net
Company Name *
Accounts Payable Contact Name *
Accounts Payable Phone Number *
Fax Number (optional)
Accounts Payable Email *
This is the email that we will send open invoices to.
Billing Address *
Credit Reference 1 *
Please provide City, State and Phone Number
Credit Reference 2 *
Please provide City, State and Phone Number
Credit Reference 3 *
Please provide City, State and Phone Number
Before we can ship your first order, we will need to receive credit card payment information. Please tell us how you would like to provide this information. *
If you have any shipping accounts you would like us to keep recorded on your company file
Submit
Never submit passwords through Google Forms.
This form was created inside of Hayes Tooling and Plastics, Inc.. Report Abuse