Date

YYYY

Federal Tax ID / EIN #

Legal Name

DBA

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Shipping Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

County

Telephone Number

(###)

###

####

Fax Number

(###)

###

####

We are in the business of:

Tube Supply Contact

First Name

Last Name

Type of Business

Limited Liability Company

Corporation

Partnership

Sole Proprietorship

Parent Company:

Under present ownership since:

YYYY

Publicly Traded Symbol/Ticker

Dunn & Bradstreet #

Accounts Payable

First Name

Last Name

Accounts Payable Email

I/We prefer to receive all invoices via

Principals/Officers/Owners

Please list all with official titles

Sales Tax Status

Taxable on all sales

Taxable by job

Exempt (if tax-exempt, you must provide appropriate certificate)

If Taxable:

State %

City %

County/Parish %

MTA %

Other %

Credit Requested

List the approximate amount of credit that Applicant requires per month. The request shall not be binding upon Seller, nor shall Seller incur liability by granting, decreasing, increasing, changing, or refusing said request. Please provide a copy of your most current Financial Statement or Annual Report. (Refusal to provide financial information will not automatically disqualify an application; however, considerable emphasis is placed on its contents.

Bank References

1. First Reference

Bank Name

Bank Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact at Bank

First Name

Last Name

Contact's Email

Phone Number

(###)

###

####

Fax Number

(###)

###

####

Type of Account

Account Number

Type of Account

Account Number

2. Second Reference

Bank Name

Bank Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Bank Contact

First Name

Last Name

Bank Contact's Email

Bank's Phone Number

(###)

###

####

Fax Number

(###)

###

####

Type of Account

Account Number

Type of Account

Account Number

Steel/Metal/Trade References

Please list active accounts ONLY

1. Reference Name

Reference Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact at Company

First Name

Last Name

Contact's Email

Telephone #

(###)

###

####

Fax #

(###)

###

####

2. Reference Name

Reference Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact at Company

First Name

Last Name

Contact's Email

Telephone #

(###)

###

####

Fax #

(###)

###

####

3. Reference Name

Reference Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact at company

First Name

Last Name

Contact's email

Telephone #

(###)

###

####

Fax #

(###)

###

####

4. Reference Name

Reference Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact at company

First Name

Last Name

Contact's email

Telephone #

(###)

###

####

Fax #

(###)

###

####

Credit Agreement

From time to time the undersigned Applicant may seek to purchase on credit, rather than with cash, products ("Products") sold by Seller. In the event that Seller agrees to sell Products to Applicant on credit in any transaction, then Applicant agrees that the following terms and conditions apply to such transaction, provided, however, that Seller may terminate any credit availability at any time within its sole discretion without written or advance notification to Applicant: 1. Applicant will make full payment of the invoice amount to the remittance location specified on the invoice for all Products sold to Applicant on credit on or before the due date stated on the face of the invoice. If Applicant fails to do so, Applicant will be liable to Seller for, in addition to the unpaid principal amount of said invoice: (i) all costs and expenses of collection incurred by Seller, including, without limitation, reasonable attorneys' fees and court costs and (ii) interest on the unpaid balance of said invoice amount at the lesser of 1.5% per month or the highest lawful rate under which applicable law, commencing on the first day after the due date until paid. 2. At the sole discretion of the seller, the applicant may make full payment of the invoice amount by credit card (applies only to credit cards accepted by the seller). Credit card payments will be subject to a 2% convenience fee for orders aged 30 days or less from the date of invoice. Additional convenience fees on unpaid balances will accrue at a rate of the lesser of 1% per month, or the highest lawful rate under applicable law, commencing on the first day after the due date until paid. 3. This agreement shall constitute authorization under the Fair Credit Reporting Act to Seller to utilize credit reporting agencies to provide reports on said Applicant in order to permit Seller to appropriately evaluate the extension of any business credit. Applicant hereby authorizes Seller to release information to other creditors regarding Applicant's credit experience with Seller. 4. Applicant hereby authorizes the Seller to investigate the credit references submitted pertaining to the Applicant's credit and financial responsibility. 5. Applicant hereby represents that all purchases are for business purposes. 6.Applicant grants to Seller a security interest in the Products it purchases from Seller and in any goods made or fabricated there from and the proceeds thereof. 7. In the event of conflict and/or inconsistency between the terms as stated on the face of the invoice or in this Agreement and anything contained in any purchase order, contract, or agreement between parties, the terms and conditions of this Agreement shall govern and control. 8. Seller may amend this agreement by mail notification to Applicant with respect to all transactions begun after the date thereof, and additional signatures are not required to have such amendments incorporated into the original agreement. 9. All payments made against open charges may be applied at the discretion of the Seller. Seller shall have the right of recoupment of credits, refunds, reserves, or other monies owed to Applicant. 10. Applicant agrees that the laws of the State of Texas shall govern this agreement and that jurisdiction and venue shall be in Houston, Harris County, Texas. Applicant waives the right to a jury trial. 11. Seller shall not be liable to Applicant for consequential damages in the event of any suit related to the Products or this Agreement. 12. Triple-S Tube Supply, L.P., d/b/a Tube Supply, shall be Seller's collection agent and any suit on this account may be brought in the name of Triple-S Steel Holdings, Inc. for the benefit of Seller. By typing your name in the box below, you agree to all of the terms listed in the credit agreement.

Guarantee

In consideration of Seller extending credit to Applicant, each of the undersigned, jointly and severally, unconditionally guarantees and promises to pay Seller, on demand any and all indebtedness of Applicant to Seller. This is a continuing guarantee of payment, and the obligations created hereby are unaffected by any change in terms of the original indebtedness between Seller and the Applicant save that of payment. Texas law applies to this guaranty and venue shall lie in Harris County, Texas. This guarantee may not be revoked unless in writing and approved in writing by Seller. Individuals signing consent to Seller's use of consumer credit reporting agency's reports to assist in the evaluation of the credit of said guarantor of Applicant's business debt.

Guarantee Signature

Yes

Uniform Sales & Use Tax Certificate - Multijurisdiction

The below-listed states have indicated that this form of certificate is acceptable, subject to the notes on in the previous sections of this form. The issuer and the recipient have the responsibility of determining the proper use of this certificate under applicable laws in each state, as these may change from time to time. Issued to Seller: Triple-S Tube Supply, L. P., d/b/a Tube Supply and their successors, assigns, affiliates, subsidiaries, new acquisitions, and joint ventures collectively.

Seller Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I certify that:

Name of Firm (Buyer)

Address

is engaged as a registered

Wholesaler

Retailer

Manufacturer

Seller (California)

Lessor (see notes in previous sections)

Other

and is registered with the below-listed states and cities within which your firm would delivery purchases to use and that any such purchases are for wholesale, resale, ingredients or components of a new product or service to be resold, leased, or rented in the following:

Description of Business

General description of tangible property or taxable services to be purchased from the seller

Information Regarding Location of Tax Exempt Status

State/Province

City/Parish

Tax ID Number

I further certify that if any property or services so purchased tax free is used or consumed by the firm as to make it subject to a Sales or use Tax we will pay the tax due directly to the proper taxing authority when state law so provides or inform the seller for added tax billing. This certificate shall be a part of each order which we may hereafter give to you, unless otherwise specified, and shall be valid until canceled by us in writing or revoked by the city or state.

Application for credit and Credit agreement

LINE CARD

CREDIT APPLICATION

REQUEST A QUOTE

Terms and Conditions

HEADQUARTERS