Credit Application

Kansas City Fly Ash accepts credit applications from our new customers. Click this Credit Application link to access the form. You can either fill the form out online and print it, or print the blank form and fill in the information by hand. In either case, sign the completed form and mail the original to:

Kansas City Fly Ash
Attn: Credit Applications
15100 E. Courtney-Atherton Road
Sugar Creek, MO 64058

If you would prefer to submit the form electronically, attach your signed Credit Application form below and hit submit. You may separately attach the completed Questionnaire Document and hit submit, also.

Tips to help expedite the approval process:

1. Fill out the form completely. Signatures are required on the credit application. Signatures are also required on the Authorization to Obtain Consumer Credit Report/History form if using personal credit to open a credit account.

2. Supply complete information on suppliers, including fax numbers. The greater number of references you can supply, the faster your application gets processed, as we can take the first three references that respond. Please list material suppliers only, as leases, credit cards, or services can’t be used as references for our purposes.

3. Click this Customer Questionnaire Document Link to tell us about your project and the products you wish to purchase.

Call our Credit Manager at (816) 257-4017 with any questions.

Credit Application Form – Attach completed and signed application form and submit below. You may also attach the questionnaire document and submit it through the form below.

  • Max. file size: 20 MB.
  • This field is for validation purposes and should be left unchanged.