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Credit Application

The RCAI Credit Application is available in PDF format.

You must have Adobe Reader installed on your computer in order to view and print this document.

If you do not have Adobe Reader, please visit the Adobe website to download and install this free software application.

Please print this application form and fill in the requested information to become a registered buyer with RCAI. Fax it to us at + (727) 573-1886 or toll-free fax + (800) 545-7938 along with your tax exempt forms.

You will be contacted by RCAI when your account is ready to use. Please note that you must fill in all the requested information in order for us to process your request. All information will be held in the strictest of confidence.

On your purchase order form:

  1. Specify your purchase order number
  2. Specify the product code or product description and size you wish to order
  3. Specify the quantity you wish to order
  4. Specify the address where the order is to be shipped
  5. Specify how you want the order to be shipped to your facility.
  6. Fax your order to +800-545-7938 or +727-573-1886 or
    E-mail the order to or
    Call the order to +800-627-1595 or +727-573-1595.
  7. You will receive an order confirmation on faxed or e-mail orders.

» Click here to download the RCAI Credit Application

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