Credit Application

Greenwich Metals, Inc.
165 West Putnam Avenue
Greenwich, CT 06830
Telephone: 203-622-4848
Fax: 203-622-0700


The following information is provided for the purpose of obtaining commercial credit from Greenwich Metals, Inc. ("GMI"). GMI is authorized to contact the references listed below and any such other sources of commercial information that GMI deems reasonable for the purpose of gathering credit information related to this application. This information will be utilized solely for internal credit-related purposes and will be treated confidentially.

Alternatively, you can get a print version of this form and mail or fax it to us.

Date of Business Established (input box text YEAR)

Has any change of ownership occured in last two years?

Financial Statements?

Trade references:

Bank Reference: