Download Credit Application
Click on the button to download the credit application. If you do not have a digital signature set up, you must print out the application and sign where requested. You may create a digital ID with Adobe by clicking in any signature box and following the instructions.
If submitting by mail, please send to:
Merrimac Industrial Sales
111 Neck Road
Haverhill, MA 01835
If submitting by fax, please use:
Fax Number: 978-372-6226
Please do not submit the form via email, as this is not a secure method to transmit personal data.
If you have any questions, please call us at 978-372-6006.