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Account Application

Account Application

To open an account with Balmar, please provide us with the information requested in our credit application form. After completing the form, you can either fax it to:

(703) 876-9657

or mail your form to:

Balmar, Inc.
2818 Fallfax Drive
Falls Church, Virginia 22042

To avoid delays in processing your application, please fill out all required information.

Download the Account Application here (pdf)