New Customer Form

Welcome to Fuse Metal! To establish your new account with us, please complete the form below. If you’d prefer to submit business documents instead of completing the form, click the button instead. We look forward to working with you!

Submit Prepared Business Documents Instead

Name and DBA

Company Name(Required)

DBA

Contact Information

General Contact Information. Billing information is entered in the next section.

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Canadian Companies Only(Required)

I affirm that our business is registered for GST / HST.

Contact Name(Required)

Title(Required)

Email(Required)

Phone(Required)

Billing Information

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Billing Contact(Required)

Title(Required)

Email(Required)

Phone(Required)

Fax

Payment Terms *

Default payment terms for Design work are 50% down, 50% NET 30, progress-billed monthly.
Default payment terms for Fabrication and Installation are Prepayment, with Shipping & Handling and associated tax billed at NET 30.
To be considered for NET 30 terms, check the box below and we will be in touch shortly.

Terms Agreement(Required)

I accept these terms.

I’d like to apply for NET 30 terms.

This field is for validation purposes and should be left unchanged.