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
Personal Credit
– provide a social security number to be eligible for a Net 30 day account.
Business Credit
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,
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 is your one-stop-shop for supplies, welding equipment, and expert guidance.
Small task or a big project?
It doesn’t matter; we have what you need.
California Based-Independently Owned