Contact Information
*Fields in
Red
are Required
Customer Name
Contact
Street
City
State
Zip
Telephone
(
)
Ext.
Email
Web Site
Additional Information
or Questions
When you are ready to become a customer, there are two forms we need you to fill out. Go to our
Information Forms
Page and they can be printed from there. Complete the Credit Application and Michigan Sales and Use Tax Form, then please fax to 616-454-1410. Thank You.