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Mid-South Steam Boiler & Engineering Credit Application

Please feel free to download and fill out a pdf of the application here. You may fax or email the application to begin the process and the account will be opened upon approval when the signed document is received. You may use:

Fax (479) 471-5533
Email connie.mullen@midsouthboiler.com
Mail to: Mid-South Steam Boiler, ATTN Controller, 3805 Pointer Trail E, Van Buren, AR 72956-8843.

Please Note:

YOUR CREDIT APPLICATION WILL BE PROCESSED AS TAXABLE UNLESS A VALID EXEMPTION CERTIFICATE(S) IS ATTACHED. If you are applying for a tax exempt purchase or service please email your valid tax exemption certificate for each state and local jurisdiction where the product will be used.

Email the Completed Application and/or Tax Exemption Certificates here.

Download the latest version of Acrobat Reader here. Then email the pdf back here