New Commercial Account Request - Pacific Iron & Metal

Please complete the following information and we will review your request for approval.
Company Name*
Company Mailing Address*
City*
State*
Zip Code*
Company Street Address
(If different from mailing address)
City
State
Zip Code
Company Phone*
Company Fax
Email Contact*
Company URL/Website
Owner/Contact Name*
Company UBI/Business License #
(if available)
Authorization
Persons authorized to deliver scrap metal to Pacific Iron & Metal on behalf of the above company and receive payment for same.
Contact Names
Disclaimer*
- I agree
Pacific Iron & Metal has provided me the opportunity to review current Washington State law and to the best of my knowledge, I have not deliberately falsified or lied pursuant to any information provided for the purposes of avoiding any requirements of current law. I certify that the above named company is a valid commercial entity, and I am authorized by the above named commercial entity to transact business with Pacific Iron & Metal.

Authorization