Date:
A1 Copy Paper Price:   PO Req’d?   Y   N
ACCOUNT INFO
Business Name:
Purchaser Name:
Email:
Admin - Same?   Y   N Name of different:  
A/P Phone:
Email:
Billing Address:
City/State/Zip:
Shipping Address:
City/State/Zip:
Phone:
Tax Exempt?   Y   N (If yes, Attach Certificate)
Payment Types ***Custom orders including all Signage, Embroidery, & Promo Products will be credit cards terms ***
Credit Card (VISA, MASTER CARD, AMERICAN EXPRESS)
ACH
Net 15 Customers; Complete References Section and See Terms & Conditions Below
BUSINESS REFERENCES
Reference 1:
Contact:
Address:
City/State/Zip:
Phone:
Fax:
Acct #:
Reference 2:
Contact:
Address:
City/State/Zip:
Phone:
Fax:
Acct #:
TERMS & CONDITIONS
Terms of Sale – Terms of Payment – Terms of Charges

Terms of each purchase is referred to the face value and contents of Invoice. All payments are subject to Net 15 days. Interest @ 1.5% per month i.e. 18% annually would be charged on past due invoices. Client agrees to pay the cost of collection/ legal fee or any such action taken in process to collect the due/non-paid amount. The above mentioned information is willingly supplied by the client and the creditor is authorized to contact the above trade references to establish the creditworthiness of the buying agent/company. All disputes are subject to arbitration upon willingness of both the parties’ concerned.

X
Signature
X
Print Name & Title