Drexel Building Supply - Credit Application
Welcome to Drexel Building Supply - where you begin as a stranger, and we work as friends!

We are not a bank. Thank you for applying for the following credit terms.

Please enter your information below.

Email address *
FIRST NAME: *
MIDDLE INITIAL: *
LAST NAME: *
DATE OF BIRTH: *
MM
/
DD
/
YYYY
ACCOUNT NAME (Business name, or as you would like it to appear on your account) *
BUSINESS TYPE:
# OF YEARS IN BUSINESS:
STREET ADDRESS: *
CITY: *
STATE: *
ZIP: *
COUNTY (for tax purposes): *
TAX EXEMPT?: *
Please upload your tax exempt form here.
EMAIL ADDRESS - to receive invoices & statements: *
EMAIL ADDRESS - for contact & sales information, if different:
CELLPHONE: xxx-xxx-xxxx *
WORK PHONE:
HOME PHONE:
FAX #:
PLEASE SELECT THE DREXEL BRANCH CLOSEST TO YOUR LOCATION: *
HAVE YOU BEEN WORKING WITH SOMEONE AT DREXEL? If yes, please enter name. If no, please enter none. *
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