Application For Credit

Name:		Date:
Address:		City:
State:		Zip:
Phone:		Fax:
E-mail:
Company President:		DUNNS#:
CFO/Controller:		Fed ID#:
Accounts Payable:		State ID#:
Description of commodities and services:

Shipping State:		Shipping City:
Requested Terms:		Request Credit Limit:

BUSINESS REFERENCES
Financing Company:		Representative:
Address:		City:
State:		Zip Code:
Phone:		Fax:

Company 2:		Representative:
Address:		City:
State:		Zip Code:
Phone:		Fax:

Company 3:		Representative:
Address:		City:
State:		Zip Code:
Phone:		Fax:

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In The News

**Press Release** DGI Supply Set to Acquire MIT of Omaha, Nebraska. Click here to read more!

**DGI is looking for qualified Sales Representatives. Contact Howard Hively @ 1-800-735-4648 or email your resume to This e-mail address is being protected from spam bots, you need JavaScript enabled to view it All resumes and inquiries will be considered confidential.**

For more information on DGI Supply please see us @ www.dgisupply.com

Locations

Corporate Headquarters
14001 Chalco Valley Parkway
Omaha, NE 68138-6191
800-735-4648

Columbus Branch
2561 53rd Avenue
Columbus, NE 68601
888-845-7048