ABC Printer Repair

InkJet Cartridges,
Refill Kits,
Toner Cartridges,
Bulk Inks & More!
ABC Printer Repair.com

Printer Supplies at LOW LOW Rates!

Google
Departments
 

Credit Application

  Request for Net 15 Terms - Open Account
  Request for COD Company Check

Customer Number:

Credit Limit Request:

Tax Resale Number:
Legal Name (Full Corporate and DBA Name):       

Billing Address:

City:

State:

Zip:

Phone:

A/P Contact:

eMail:

 Shipping Address:

City:

State:

Zip:

Fax:

Years Established:

Number of Locations:
Type of Business:
Business Structure:
Corporation Partnership Sole Proprietorship Other
Name of Officers, Partners or Owner:
Dun and Bradstreet #:                     
Have you ever filed for bankruptcy?  
If so, what year?                             

Bank Reference
Bank Name:

Address:

City:

State:

Zip:

Checking Account Number:
 Phone:

Fax:

Contact:

Loan Number:

Loan Type:
Secured Unsecured

Trade Reference
Name 1:

Address:

City:

State:

Zip:

Phone:

Fax:
 Name 2:

Address:

City:

State:

Zip:

Phone:

Fax:
Name 3:

Address:

City:

State:

Zip:

Phone:

Fax:
 Name 4:

Address:

City:

State:

Zip:

Phone:

Fax:
By submitting this application, it certifies that the information contained in this application is true and correct. In addition to the foregoing, the undersigned expressly agrees that in the event any action or proceedings shall be brought for the recovery of amounts due for products or merchandise obtained from ABC Printer Repair or it's assigns, to pay all cost of collection including, but not limited to, attorney or collection agent fees. The undersigned further agrees to pay a $25.00 charge for each returned check.

The undersigned gives this information for the purpose of obtaining credit and authorizes ABC Printer Repair to obtain additional information concerning their credit standing and to furnish same to others.

 
Submitted By:

Title:

 Federal ID Number:

Social Security Number:

 

 



 

 

Copyright 1998 - 2005 ABC Printer Repair. All trade names listed on this page are copyrighted.
If you notice, or experiance any problems with our website (links, etc...) please let us know.
webmaster@abcprinterrepair.com

ABC Printer Repair.com
3509 Montrose Ave.
Reading, PA. 19605