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Terms/Credit
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Please print, fill out completely and Fax to Graphic Ventures @404-691-9574
OR
Download a Credit Application in Adobe PDF here.... Credit/App
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NEW ACCOUNT CREDIT APPLICATION
FIRM NAME:_________________________________________________________
ADDRESS:___________________________________________________________
CITY:__________________________ COUNTY:__________
STATE:______ ZIP:____________
PHONE:_________________________ FAX:_______________________________
SALES TAX STATUS: _______ TAXABLE _________ EXEMPT
(IF EXEMPT, PLEASE ATTACH RESALE CERTIFICATE)
FEDERAL ID NUMBER:_______________________________________
PLEASE CHECK ONE:
______ CORPORATION _______ PARTNERS _______HIPGENERAL OR LIMITED?
______ PROPRIETORSHIP ______ OTHER
DATE OF INCORPORATION __________ STATE OF INCORPORATION _____
YEAR BUSINESS STARTED __________
LINE OF CREDIT REQUESTED ________________________________
BANK REFERENCE
BANK:__________________________ BRANCH:____________________________
OFFICER:_______________________ PHONE:______________________________
ACCOUNT NUMBER:_________________________________
PLEASE INDICATE THE FINANCIAL INSTITUTION THAT PROVIDES YOU WITH YOUR FINANCING.
FINANCIAL INSTITUTION: _____________________________________________
OFFICER:________________________ PHONE:_____________________________
TRADE REFERENCES
(PLEASE GIVE ONLY CURRENT SUPPLIERS FROM WHOM YOU BUY ON OPEN ACCOUNT)
1. NAME:_________________________
PHONE: ________________FAX:_________________
ADDRESS: _____________________________________________________________
CITY, STATE, ZIP: _______________________________________________________
2. NAME:_________________________
PHONE: ________________FAX:_________________
ADDRESS: _____________________________________________________________
CITY, STATE, ZIP: _______________________________________________________
3. NAME:_________________________
PHONE: ________________FAX:_________________
ADDRESS: _____________________________________________________________
CITY, STATE, ZIP: _______________________________________________________
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