Credit Application Request

Thank you for your interest in applying for credit with us
Please take a few moments to provide us with the following contact information via e-mail or fax 858-292-0427. Upon receipt, we will e-mail or fax you our standard credit form for completion. Please complete and sign the form, then return it via fax, or mail to P.O. Box 17530, San Diego, CA 92177. We will begin processing your application as soon as we receive it and contact you when the approval process is completed.

In the meantime, Western Fastener gladly accepts credit card or COD orders. Thanks again and we look forward to serving you.


Name:


Title:


Company:


Address:


City:


State:


Zip:


Phone:


Fax:


E-mail:


How did you hear about Western Fastener?


What does your company manufacture?


What is your anticipated annual purchase value for
fasteners and related hardware?


Are you interested in inventory replenishment or other
special services?