Application for Credit

UNIVERSITY REPROGRAPHICS, INC.
PHONE: (206) 633-0925
ACCOUNTING E-MAIL: cindy@universityrepro.com


150 NICKERSON STREET SUITE 109 SEATTLE, WA 98109
APPLICATION FOR CREDIT

COMPANY NAME:
BUSINESS ADDRESS:
CITY, STATE, ZIP:
E-MAIL:
MAIL ADDRESS:
(if different include zip):
PHONE NUMBER:
FAX:

Type of business:

Year business started:
Years at present location:

Type of organization: Private corporation
Public corporation
Public Partnership
Individual

Owner's name:
Residential address:
Phone:

Banking reference:
Name:
Address:
Account:
Contact:

Trade References:  
(1) Name:
Address:
City:
State:
Zip:
Phone:
(2) Name:
Address:
City:
State:
Zip:
Phone:
(3) Name:
Address:
City:
State:
Zip:
Phone:

IN MAKING THIS APPLICATION FOR CREDIT, THE CUSTOMER AGREES TO PAY ALL INVOICES WITHIN 30 DAYS FROM DATE OF INVOICE AND PAY A SERVICE CHARGE OF 1.5% PER MONTH ($1.00 MINIMUM) ON ALL OVERDUE BALANCES. ALL ACCOUNTS OVER 60 DAYS PAST DUE WILL BE PLACED ON C.O.D. STATUS. THERE IS $6.00 MINIMUM CHARGE ON ALL ACCOUNT ORDER. ALSO ALL RETURN AND EXCHANGES MAY BE SUBJECT TO 20% HANDLING FEE.
Title:
Date: