For Buyers

At Drake we understand the special needs of Just-In-Time manufacturing. We know that you need your order When You Need It and that the product has to arrive on time.

We make reordering simple and fast by maintaining materials records, date of manufacture and revision changes for every durable label we print. We maintain records for at least 10 years. See an example here: Art Approval and Job Ticket (PDF 1.43MB)

To reorder an item, please have the following information available and input it into the Re-Order form.

Your part number or the DI number;
The last invoice (or price quoted) and the date; and
The current PO number.

For new or custom orders use our Quote form. If a specific certification is required please include that information in the "Comments" section. Please ensure that the Purchase Order states certification requirements as well.

W-9 (PDF 114KB)

Buyers Credit Application

Billing Information

Shipping Information

AP Contact Name:

Contact Name:

Company Name:

Address:

Phone:

Fax:

E-mail:

General Company Information:

Federal tax ID Number:

Are you tax exempt?

Yes No

Dunn & Bradstreet Number:

If yes, please provide Tax Exempt number:

Corporation Partnership

Sole Proprietor Non-Profit

In Business since:

Business Type:

Account Number:

Bank Reference:

Bank Name:

Bank Contact:

Phone:

Fax:

Trade References:

Company	Contact	Phone No.	Fax#	Email
1.
2.
3.
4.
5.

Authorization

Checking the box below represents and warrants that the party signing is an authorized representative of the company and agrees that the terms of sale are strictly NET 30 DAYS from the date of invoice. Accounts with balances beyond these terms are subject to interruption of deliveries.

I certify that the above information is true and complete to the best of my knowledge. I authorize Drake Industries, Inc. to check our credit to provide and/or obtain information regarding our credit history.

Name:

Title:

Date: