CREDIT APPLICATION FOR A BUSINESS ACCOUNT

CREDIT APPLICATION FOR A BUSINESS ACCOUNT
BUSINESS CONTACT INFORMATION
Company name
Phone
Format: (000) 000-0000.
Fax
Email
example@example.com
Registered company address
City
State
ZIP Code
Date business commenced

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Type a question

Other
BUSINESS AND CREDIT INFORMATION
Primary business address
City
State
ZIP Code
How Long at that address
Telephone
Format: (000) 000-0000.
Fax
E mail
example@example.com
Bank name
Bank address
Phone
Format: (000) 000-0000.
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
Format: (000) 000-0000.
Fax
E mail
example@example.com
Type of account
Ref #2
Company name
Address
City
State
ZIP Code
Phone
Format: (000) 000-0000.
Fax
E mail
example@example.com
Type of account
Ref #3
Company name
Address
City
State
ZIP Code
Phone
Format: (000) 000-0000.
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
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Bank account info