Refining Form

Please complete all required sections of this form and include a physical copy with your shipment, to prevent processing delays.

Markets are set on date of refining settlement. WE PURCHASE PRECIOUS METAL SCRAP FROM US, CANADA and MEXICO CUSTOMERS ONLY.
Company Name*
Customer Name*
Business Address*
Phone Number*
Please enter a valid phone number.
Email*
I am a new customerI live in the USAThe above is an address changeI am a registered USA business

ANTI MONEY LAUNDERING REQUIREMENT
In order to comply with our legal obligations under the USA Patriot Act and Anti Money Laundering laws, we ask that you provide the following information. We encourage all of our customers and suppliers to adopt and implement anti corruption measures. All information you provide below will be kept confidential and is not reported.
If you have already submitted this form and there have been no changes to your information, you do not need to fill this out again.
Do you maintain an AML Program?*

NoYes, I will enter the information nowYes, I have already submitted this information
Company Name
President, CEO or Partners
Business Structure
Federal Tax ID or Social Security #
Signature*

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