Thank you for choosing Eureka Oxygen Company; DBA: Ukiah Oxygen Company, Lake County Welders and
Petaluma Oxygen Company.  Please fill out the application that applies to your situation. We will respond promptly.

  •  Complete the application and acknowledgments page to open an account.
  • Write legibly using a blue or black ink pen, only.
  • Complete each section as accurately as possible. If something doesn’t apply to you, write “n/a”.
  • If you’d like to receive your invoices and statements via email please check the box “I would like to receive e-mailed invoices and statements.”

Please, don’t hesitate to call our main office at 707-443-2228 if you have any questions

Cash Only (COD)/Short-Term

If you prefer to download and fill in by hand you may do so here: Down Load Credit Application

 

 

Personal Credit

If you prefer to download and fill in by hand you may do so here: Down Load Credit Application

– provide a social security number to be eligible for a Net 30 day account.

Business Credit

If you’ve been in business for 3 or more years, please provide trade references and their fax numbers. Otherwise, please provide a social security number in order to be eligible for a Net 30-day account.

Credit Card Authorization (request form if needed): Please complete and return with this packet if you’d like your credit card to be automatically charged after statements are processed. The card will be charged mid-month, the month following the purchase date.

Resale Certificate (request form if needed): Please complete and return with this packet if you’re going to be purchasing items from us that you wish to re-sell. Please be specific with paragraph 5 of this form; for example – Steel, Wire, Abrasives, Co2, etc. If you’re unsure of an item, please refer to: http://boe.ca.gov or call 1-800-400-7115

Please, don’t hesitate to call our main office at 707-443-2228 if you have any questions about this application packet. Upon completion of the packet, you may turn the application in at the store you’ll be purchasing from,

E-mail it click here 

Fax it to 707-443-2242 

Mail it to our main office: Eureka Oxygen Company, 2810 Jacobs Ave, Eureka CA 95501.

If you prefer to download and fill in by hand you may do so here: Down Load Credit Application

Don't Be Shy

Eureka Oxygen, have everything you need for whatever welding application you are contemplating.
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