The Information Contained in This Application Is Provided for the Purpose of Obtaining

1617 Park 370 Court

Hazelwood, MO 63042

636-349-5560

Please fax completed form to 636-717-3306 or e-mail to

Date: ______

Name of Company: ______

Street Address: ______

City: ______State: ______Zip: ______County: ______

Telephone: (_____) ______- ______Fax: (_____) ______-______

Mobile Phone: (_____) ______-______Email: ______Website: ______

Type of Business: ______# Years in Business: ______

Sales Tax Exemption #: ______Federal ID #: ______

Please Check One: ______Corporation______Partnership______Sole Proprietorship

______Individual______Government______LLC______LLP

Anticipated Monthly Purchase Amount: ______Amount of Initial Order: ______

May We Fax Your Invoices? Yes___ No___ Statements? Yes___ No___ Fax #: ______

May We E-mail Your Invoices? Yes___ No___ Statements? Yes___ No___ E-mail: ______

Purchase Order Required? Yes ______No_____

Please list names of persons authorized to make purchases: ______

______

NAMES OF OFFICERS/OWNERS

Name: ______Title: ______% of Ownership: ______

Street: ______City: ______State/Zip: ______

Name and Address of Previous Business: ______

Name: ______Title: ______% of Ownership: ______

Street: ______City: ______State/Zip: ______

Name and Address of Previous Business: ______

Former/Present Affiliated Companies: ______

Pending Litigation? ______If Yes, Details: ______

Bankruptcy Filed? ______If Yes, Date, City & State of Filing: ______

(Please Complete on Reverse Side)

TRADE REFERENCES

______

NAME ADDRESSACCOUNT NUMBER

______

TELEPHONE/FAX NUMBER CONTACT PERSON

______

NAME ADDRESSACCOUNT NUMBER

______

TELEPHONE/FAX NUMBER CONTACT PERSON

______

NAME ADDRESSACCOUNT NUMBER

______

TELEPHONE/FAX NUMBER CONTACT PERSON

BANK: ______BRANCH: ______CHECKING ACCT #:______

CONTACT: ______PHONE NUMBER: ______LOAN #: ______

The information contained in this application is provided for the purpose of obtaining or maintaining credit with American Metals Supply, Inc., herein after referred to as “AMS”. The undersigned understands that AMS is relying upon the information provided herein in deciding to grant or continue credit. The undersigned represents and warrants that the information provided is true and complete and that AMS may consider it as continuing to be true and correct until a written notice of change is given to AMS by the undersigned. AMS is authorized to make all inquiries they deem necessary including, but not limited to, pulling consumer credit reports on any owners or principals of the company in order to verify the accuracy of the statements made herein to determine my creditworthiness. The undersigned hereby agrees that any disputes arising out of this agreement or goods and merchandise ordered or delivered pursuant hereto will be governed and settled under applicable principles of Missouri law, under jurisdiction of the State of Missouri Courts and that venue in any such action shall be in the County of St. Louis.

NOTE: It is understood by signing this application I am acknowledging and accepting that a service charge will be added to past-due invoices each month in the amount of 12% annum. Customer agrees to pay all costs of collection, including, but not limited to, court costs, suit fees and attorney fees.

Merchandise may not be returned without prior authorization from American Metals Supply. A 25% restocking fee may apply.

By signing this application, I acknowledge that I have read and understand the terms of sale and agree to abide by them.

DATE: ______SIGNED: ______

BY: ______PRINTED NAME: ______

TITLE: ______

INDIVIDUAL/JOINT PERSONAL GUARANTEE

Date ______, 20______

I/We, ______, and ______residing at ______

______

for and in consideration of your extending credit at my request to ______(hereinafter referred to as “The

“Company”), of which I/we am/are ______and/or ______. I/We hereby personally guarantee to

American Metals Supply, Inc., payment in the State of Missouri, of any obligation of The Company and I hereby agree to bind

myself to pay you on demand any sum which may become due to you by The Company whenever The Company shall fail to pay

the same. It is understood that this guarantee shall be a continuing and irrevocable guarantee and indemnity of such indebtedness

of The Company. I/We hereby waive notice of default, non-payment and notice thereof and consent to any modification or

renewal of the credit agreement hereby guaranteed.

Signature ______Date______

Signature ______Date ______