Credit Application

Please print the application form below and fill in the requested information to become a registered buyer with RCAI. Fax it to us at +727-205-9918 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 +727-205-9918 or
    E-mail the order to or
    Call the order to +727-573-1595.
  7. You will receive an order confirmation on faxed or e-mail orders.

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.