This
form is designed for the Applicant to print, fill out and fax to
Stinson Press at (573) 686-5198.
Company
Name __________________________
Contact
Name __________________________
Telephone
Number ______________________
Fax
Number _______________________
Email
address __________________________
Billing
Address _________________________
City/State
__________________________
Zip
Code __________________________
Accts.
Payable Contact ______________________
Direct
Phone Number ____________________
Business
Profile:
Corporation
Sole Proprietorship
Partnership
Date
business established _______________
Number
of Employees __________________
Type
of business ____________________
Number
of locations ____________
Has
Applicant, or any of its Owners, ever filed a petition of
bankruptcy?
Yes
No
Sales
last year $ ____________________
Estimate
this year $_________________
If
business is a Sole Proprietorship or Partnership, please
fill in the following information for Principals
Name
__________________________
Title
__________________________
Home
Address ______________________
Home
Phone Number ________________
Name
__________________________
Title
__________________________
Home
Address ______________________
Home
Phone Number ________________
We
authorize Stinson Press, Inc. to contact the accounts listed
below for credit information. (initials)
_____________
Bank
References
Bank
Name
Officer
Name
Phone
Number
Fax
Number
Account
Number
Line
of Credit Balance
Loan
Type
Balance
$
$
Trade
References: (Please list highest dollar volume references)
Company
Name
Fax
Number (required)
Telephone
Number
1.
2.
3.
Terms,
Conditions and Guarantee
Payment in full is due within 30 days
of the invoice date. Additional credit may be denied
to accounts whose balances are not paid within 30 days,
either temporarily or permanently. Stinson Press, Inc.
reserves the right to charge interest at a rate of 1.5%
per month on all balances not paid within the above
stated terms. All accounts not paid within 90 days will
be remanded to a collection agency or attorney for further
action and will be responsible for paying any collection
costs and legal fees. All invoices must be paid in U.S.
dollars. In consideration of Stinson Press, Inc. extending
credit to the Applicant, the undersigned (Guarantor)
guarantees the prompt and complete payment of all amounts
and obligations in Applicant's name.
