Credit Application

New Customer Credit Application

Please click on the link below in order to download a printable Adobe Acrobat PDF document containing a Credit Application:

Credit Application

You must have Adobe Acrobat or Adobe Reader to view the pdf application. If you don't have it, you can download Adobe Reader 9.1 free of charge from the link below:

Adobe Reader

Please fill-in the application completely; otherwise, it will not be accepted.   Once the application is completely filled and signed, you have the option of either faxing it or mailing it in.  See contact information below:

Attn: Judy Hendren
Belen Sand & Gravel
PO Box 61
Belen, NM 87002
Fax: 505-864-2826

Refund Policy

Because of the nature of our products, we do not give refunds.