Fabtex Graphics - Credit App

BUSINESS INFORMATION

Business Name:

Business Address:

Business Phone: Business Fax:

Federal Tax ID No Estimated annual sales:

TYPE OF CREDIT APPLYING FOR:

net 10 days net 15 days net 30 days

Estimated credit limit: per month

Accounts payable contract: Phone: Exp:

CREDIT CARD INFORMATION:

Credit Card Information: Account Number:

Name on Card:

Billing Address: Billing Zip Code:

OWNERS'/OFFICERS' INFORMATION:

Name: Title:

TRADE REFERENCES:

Name: Address: Phone:

1. -

2. -

3. -

The above information is for purposed of obtaining credit and is warranted to be true.I/we authorize you to invsetigate the refrences listed pertaining to my/our account. I/we agree to the terms markes. If are not met, my credit card will be charged at the discretion of Fabtex Graphics, Inc, in the amount on any past due invoices

Print: Title:

Signed: Dated:

Phone (602) 870-9521 Fax (602) 870-4318
www.fabtexgraphics.com