Kimray Credit Application

To apply for credit with Kimray Inc. please fill out the form below.

Please review Kimray's Terms and Conditions prior to completing this form.

Contact Information

Company Name:

The legal name of your company.

Company Name is required

Email:

Please enter your email address in the space provided.

Email Address is required

Address Line 1:

The current physical address of your company.

Billing Address is required

Address Line 2:

Additional address info if needed.

City:

The city your company resides in.

City is required

State:

The state your company resides in.

State is required

Zip:

Zip Code

Zip Code is required

ShippingAddress:

Shipping Address (Include City, State, Zip - If different from above).

Phone:

Best phone number to reach the legal party of your company.

Phone number is required

Fax:

Fax number for your company.

Business Information

Any other locations doing business with this account?

Please Check Yes or No

Yes
No

If yes please list location and address for each:

List Location Adress, City, State, Zip

Type of Business (please select one):

Select the type of your business

Individual
Partnership
Corporation
Other

Is merchandise for resale?

Please Check Yes or No

Yes
No

Sales Tax Exemption ID:

If your company is tax exempt please list your Tax Exempt ID

How long in business?

How long has your company been doing business?

Credit Limit Desired:

The amount of credit requested.

Expected credit limit is required

Nature of Business

Description of of what type of business you do, example:Distributor

Please list the name of the following officers, if not incorporated:

President:

The President of the company.

How Long With Company?

How long has the president been with the company?

Vice President:

The President of the company.

How Long With Company?

How long has the vice president been with the company?

Purchasing Agent(s):

The individual(s) who are authorized to make purchases on your account.

Name of person(s) to contact regarding your account:

Name of person(s) to contact regarding your account :

Bank Reference:

Name of Bank:

The name of the bank your company uses.

Address (City, State, Zip):

Street Address, City State, Zip Code.

Contact Person:

The account contact for you company's bank.

Area code and phone number:

The area code and phone number of your bank.

Fax Number:

The fax number for your bank.

Business References:

Reference #1

Name of Business:

The name of your first business reference.

Business name is required

Contact Person:

The contact person of your first business reference.

Contact name is required

Address (City, State, Zip):

Street Address, City State, Zip Code.

Address is required

Area code and phone number:

The phone number of your first business reference.

Phone number is required

Fax:

The fax number of your first business reference.

Business name is required

Reference #2

Name of Business:

The name of your first business reference.

Business name is required

Contact Person:

The contact person of your first business reference.

Contact name is required

Address (City, State, Zip):

Street Address, City State, Zip Code.

Address is required

Area code and phone number:

The phone number of your first business reference.

Phone number is required

Fax:

The fax number of your first business reference.

Business name is required

Reference #3

Name of Business:

The name of your first business reference.

Business name is required

Contact Person:

The contact person of your first business reference.

Contact name is required

Address (City, State, Zip):

Street Address, City State, Zip Code.

Address is required

Area code and phone number:

The phone number of your first business reference.

Phone number is required

Fax:

The fax number of your first business reference.

Business name is required

By clicking "submit" below you are agreeing that:

I have the authority on behalf of my (our) organization to be bound to the Terms and Conditions of Sale for Kimray Inc., and that I have read and agree to be bound by those terms.
The information above has been carefully read by the undersigned and is, to my knowledge, in all respects complete, accurate and truthful. It discloses to Kimray Inc. the true state of my (our) financial condition as of the day of submission. Since that time there has been no material unfavorable change in my (our) financial condition, and if any such change takes place I (we) will give notice.

Security Code:

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About Kimray

Kimray is a world-class manufacturer of control equipment used extensively in oil and gas production in North America and around the globe. Founded in 1948 by Garman Kimmell, Kimray operates a 360,000 square foot facility and employs more than 800 people to serve an expanding customer base. Kimray machines iron, steel, and aluminum, as well as thermoplastic materials, to build our comprehensive line of control valves, thermostats, energy-exchange glycol pumps, gas-operated pilots and other control devices. Our products are used to control vessel and lead line temperatures, liquid level inside pressurized vessels, pressure drops, and liquid and gas flow.

We maintain a turnkey manufacturing facility, including dozens of lathes, grinders, turning, milling, sawing, and bore finishing machines, nearly all with CNC systems onboard.

Contact Us

If you aren’t near a Kimray Authorized Distributor location, please don’t hesitate to contact us via email, voice, fax, or mail.

Kimray engineers are happy to help. If you need technical support in choosing a product, designing your production site, or need help putting together your field automation solution, please choose the appropriate email contact from the list below.

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