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New Customer Application

Welcome New Customers! Here you have the ability to apply to become an offical customer of Ultra Carbide. Once you become an Ultra Carbide customer you will have access to the following.

  • Check Inventory
  • Pricing
  • Online Ordering
  • Saved Lists

Before you can enjoy everything Ultra Carbide has to offer you must complete all sections below. Once completed we will review the application and get back to you with the results. Approved applicants will be sent an invitation to set up an account. If you have any questions or concerns please contact us.

Phone:(248) 446-1744
Email:sales@ultracarbide.com

Referral

Did you receive a referral to Ultra Carbide? If you had a referral to Ultra Carbide you can add a referance here.
Refered customers will receive a 10% discount to your first order.
For more information click here

Referral Company:
Referral Contact Name:
Referral Contact Email:
Referral Contact Phone:

Company Information

Company Name:
Company Website:
President / CEO:
DUNS#

Primary Contact Information

Name:
Email:
Phone:
Fax:

Accounts Payable Contact Information

Name:
Email:
Phone:
Fax:

Billing Information

Address:
City:
State:
Zip Code:
AP Contact Name:
AP Contact Email:

Shipping Information

Address:
City:
State:
Zip Code:
Courier:
Method:
Freight Collect:
UPS Quatntum Name (Optional):
UPS Quatntum email (Optional):

Request Customer Portal Website Invites

Please provide the email addresses for all account users you wish to receive invitations.

Additional Information


W-9 Attachment:
Tax Exempt Certificate:

Tax Exempt Certificate is required proir to orders being placed. Terms are Net Thirty (30) days after account is approved.

Customer Credit Application

It is required to provide 3 Credit References (Commercial Only). Please provide Company Name, Contact Name and email or fax number to send requests to. Only USA Referances! References without vaild Email or Fax will not be contacted. 3 Credit References must be returned to astablish Credit Limit Terms.

Already have a document that provides your credit references? You may attach the a credit reference document as an alternative option.

Credit References Attachment:

OR

Credit Reference #1

Company Name:
Customer Account Number:
Contact Person:
Email:
Fax:

Credit Reference #2

Company Name:
Customer Account Number:
Contact Person:
Email:
Fax:

Credit Reference #3

Company Name:
Customer Account Number:
Contact Person:
Email:
Fax:

*Notes*

*Invoices / Statments will be delivered via Email