A yellow hard hat with the Razorback Mining logo on it

Credit App

Please fill out the form below to apply for credit.

Business Info:

MAILING ADDRESS?
BUSINESS TYPE
ARE YOU TAXABLE?

If Non-Taxable, a tax-exempt certificate must be attached as a PDF file via the upload box to the right.

Click to select a PDF file

Communication Info:

Our preferred method of communication is email; please provide contacts for the following:

Information on Principal Owner(s) or Partners:

Primary Bank Reference Information:

Please provide at least four trade references

Reference #1

Reference #2

Reference #3

Reference #4

Terms and Conditions – Credit Application/Agreement

Please click the button above to review the our Terms and Conditions.
After reviewing them, please close that window and click the accept button below.

Personal Guarantee #1

Thanks for submitting!

NOTE: By submitting this customer application, you agree to Razorback Mining Company’s terms and conditions. Completion of this credit application constitutes a written agreement to provide insurance and indemnification as outlined in the insurance requirement section of this document.