Credit Application

Please download and complete our credit application below. You may upload the completed application, fax it to our office or send it by mail. Upon receipt of the signed application, it will be reviewed. Once the application is approved, the account will be opened and the customer will be notified at the phone number and/or email provided.

Download Credit Application

Upload Credit Application

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Fax: (479) 471-5533

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. A copy of the sales tax permit is not considered a valid tax exemption certificate.