Industrial Products Limited LLC — Seal Spray Foam, Stairway Shop, SAFE-T-FAB, Vari-Safe
5717 Salmen St, New Orleans, LA 70123  |  270 Business Center Dr, Blacklick, OH 43004
P: (504) 734-1315  or  (614) 575-9640

New Customer Setup / Application for Credit

✓

Application Submitted

Thank you — your credit application has been received.
Please allow 5–7 business days for processing.

If your timeline is urgent, contact us at ar@industrialproducts.com
or call (504) 734-1315. We accept all major credit cards and bank transfers to ship right away.

Company & Contact Information
⚠  Please include a current copy of your W-9 when submitting your application.
📎
Drag & drop your W-9 here
or
PDF, JPG, or PNG — max 5 MB
Business Details
IP currently collects tax in: AL, CA, FL, IL, IN, LA, MA, MS, OH, PA, TN, TX, UT, WA, KS
⚠  Billing Information is required to be considered for credit terms.
Billing Information
Shipping Information — if different from billing address
Shipping charges will be added to your order (prepay and add) unless you provide carrier info and instructions.
Trade References
📄
Already have a credit reference sheet? Drag & drop it here
or
PDF, JPG, or PNG — max 5 MB — If uploading, you may leave the fields below blank
Trade Reference 1
Trade Reference 2
Trade Reference 3
Trade Reference 4
Bank Reference
Credit Application Agreement & Signature
By typing your name you agree this is your legally binding electronic signature under the ESIGN Act.
Personal Guarantee — Sole Proprietors & Single-Member LLCs
Legally binding electronic signature under the ESIGN Act.
🔒 Sent securely via HTTPS — not stored