Cisco Industrial Supply and Fasteners requires our Credit Application Form to be signed and returned by all of our customers in order to establish a new credit account.

Please follow these simple steps:

1. Download and print the form below:
   Credit Application*
    
2. Complete the Credit Application
   Using a black- or blue-ink pen
    
3. Fax the completed Credit Application Form to us at:
   (910) 428-1455.

It's that easy!
You will be contacted by a Cisco representative within 24 hours. Should you have any questions about the process, please call us at (800) 280-2658 or (910) 428-4408

*Requires Free Adobe® Acrobat® Reader® Version 4 or higher
 To get your free copy from Adobe® Click Here