Apply for an Account
You will need to complete a Credit Application to open an account with Stein.

There are 3 easy ways to apply:
1.   Complete the online form below and submit to Stein for review.
2.   Download a PDF version of the Credit Application and fax the completed form to 216-883-4655.
3.   Request a form by phone (216-883-4277) or email.

Note Regarding Tax Exemption
To quality for Tax Exempt Status, Stein requires that a signed Blanket Certificate of Exemption be on file at our offices prior to ordering. You can download a certificate and fax the completed form to 216-883-4655. You can also request a form by phone (216-883-4277) or email.

System Requirement
You will need Adobe Acrobat Reader to view and print the PDF files available here. If you do not have Adobe Acrobat reader, you can download it for FREE by clicking on the "Get Acrobat Reader" button. Once it's on your system, double-click on the downloaded file to install.

Credit Application
(*indicates required fields)
Company Name*
Street Address*
Zip Code*

Billing Address (if different from above)
Street Address
Zip Code

Contact Name*

Credit References
Stein will contact the following companies by phone for credit references.
1. Company Name
2. Company Name
3. Company Name

Tax Exempt?
If yes, Tax I.D. #:
(See note above regarding Tax Exempt Status)



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