Rocky Mountain Blue Online Credit Application

CREDIT APPLICATION

Please enter below
Name of Business *
Your Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code
Phone Number *

Area Code Phone Number
Your E-mail Address *
Date Established *

Month Day Year
Date
Line of Business
BUSINESS TYPE
Type of business *

Corporation Partnership Proprietorship Other
BILLING

We send monthly statements to one email address only. We do NOT mail ‘hard’ copies of statements or invoices. To see invoices related to your monthly statement simply scroll down the e-statement. Before using your Rocky Mountain Blueprint account, it is important that you or your IT professionals ensure that emails from accountingdept@rmblue.com will always reach the email address you have provided. Payment is due upon receipt of each monthly statement. Account payments later than 30-days after a statement was issued will be deemed delinquent. It is your responsibility to notify our Accounting Dept. ,either by phone (303-440-0502) and/or email (see above) of any changes to your business info, location, and/or credit card (if you select option #1,below).
PAYMENT OPTIONS

(Please check one of the three options below)
Bill my credit card monthly

Yes
Credit Card #
Expiration Date
____ /____
CVV
Zip Code
I will call (303) 440-0502 each month to pay by credit card.

Yes
I will pay by check to Rocky Mountain Blueprint. mailed to 5741 Arapahoe Ave., #5 Boulder, CO 80303

Yes
I certify that all the information above is correct and I fully understand and accept your credit term and agree to make the proper and timely payment in consideration of this extended credit.
Signature *

Clear
Date *

Month Day Year
Date
Should be Empty:

CREDIT APPLICATION

BUSINESS TYPE

BILLING

PAYMENT OPTIONS