CREDIT APPLICATION
Date
Firm Name
Phone
Fax
Street
City
State
Zip
Bill Address
Corporation
Partnership
Proprietor
Year Business Started
How Long at Present Location
How Long Under Present Ownership
Annual Sales
Under $100,000
$100,000 to $500,000
$500,000 to $1,000,000
Over $1,000,000
OFFICERS
Name
Title
Name
Title
Person Responsible for Accounts Payable
Bank Name
Account #
Contact Person
Phone
TRADE REFERENCES
Company Name
Approximate Annual Purchases $
Address
Phone
Company Name
Approximate Annual Purchases $
Address
Phone
Company Name
Approximate Annual Purchases $
Address
Phone
Exempt from State Sales Tax
Yes
No
Tax Exemption Number
Other Pertinent Information
Above Information Provided by:
Name
Title
UNLESS CREDIT HAS BEEN APPROVED, IDEAL PRINTERS, INC. RESERVES THE RIGHT
TO HAVE YOUR ORDERS DELIVERED C.O.D.