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

Company Information

Company Name:
President / CEO:

Primary Contact Information

Name:
Email:
Phone:
Fax:

Secondary 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:

Additional Information


W-9 Attachment:

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.

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:
Contact Person:
Email:
Fax:

Credit Reference #2

Company Name:
Contact Person:
Email:
Fax:

Credit Reference #3

Company Name:
Contact Person:
Email:
Fax:

*Notes*

*Please provide your Tax Exempt Certificate prior to orders being placed. Terms are Net Thirty (30) days.
*Invoices / Statments will be delivered via Email