CREDIT APPLICATION

We are always interested in working with new clients…

CLIENT APPLICATION

Company Name:

Owners First Name:

Owners Last Name:

Address:

Tax ID:

City:

State:

Dunns#

Services Interested In:

Printing Services Screen Printing Embroidery Products

Email address to forward invoices:

Company Phone#:

Authorized Personal To Place Order:

Authorized Personal 2 To Place Order:

Authorized Personal 3 To Place Order:

Phone # Person 1

Phone # Person 2

Phone # Person 3

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine that amount and conditions of the credit to be extended. Furthermore, I hereby authorized the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein. Market Genius, LLC may provide your information to a third party to offer a secure credit line with our company.