Distributor Application

Are you interested in becoming a Distributor of D.B.&S. Steel?

If so, please complete the following application.  Once completed, a D.B.&S. representative will contact you within 3 business days to discuss your application.

All fields are required unless noted otherwise

Distributer Application

Company Name
Billing Address
Shipping Address
Company's Phone Number
* Company's Fax Number
Company's Website
Contact Name
Contact Phone
Contact Email
Nature or Type of Business
Years in Business
* Form of Business
(Corp., LLC, Partnership, Sole Proprietorship, Etc.)
* What state is your business organized in?
* Who is the owner(s) of the business?
Credit Reference 1
Credit Reference 1 Phone
Credit Reference 1 Fax
Credit Reference 2
Credit Reference 2 Phone
Credit Reference 2 Fax
Credit Reference 3
Credit Reference 3 Phone
Credit Reference 3 Fax
Name of Bank
Please enter a brief history of your company: