CREDIT APPLICATION FOR A BUSINESS ACCOUNT

CREDIT APPLICATION FOR A BUSINESS ACCOUNT
BUSINESS CONTACT INFORMATION
Company name
Phone
Fax
Email
example@example.com
Registered company address
City
State
ZIP Code
Date business commenced

MonthDayYear
Date
Type a question

Sole ProprietorshipPartnershipCorporationOther
BUSINESS AND CREDIT INFORMATION
Primary business address
City
State
ZIP Code
How Long at that address
Telephone
Fax
E mail
example@example.com
Bank name
Bank address
Phone
City
State
ZIP Code
Bank account info

All account numbers
Savings
Checking
Other
BUSINESS/TRADE REFERENCES
Ref #1
Company name
Address
City
State
ZIP Code
Phone
Fax
E mail
example@example.com
Type of account
Ref #2
Company name
Address
City
State
ZIP Code
Phone
Fax
E mail
example@example.com
Type of account
Ref #3
Company name
Address
City
State
ZIP Code
Phone
Fax
E mail
example@example.com
Type of account
AGREEMENT
1. All invoices are to be paid 15 days from the date of the invoice. 2. Claims arising from invoices must be made within seven working days. 3. By submitting this application, you authorize EZ Print Source, Inc. to make inquiries into the banking and business/trade references that you have supplied.
Signature*
Title*
Date*

MonthDayYear
Date
Should be Empty:

Bank account info