Application for Credit with Carter Printing

Please fill out this application for credit if you wish to be considered for payment terms with Carter Printing Company.

We do accept all major credit cards however a 3% convenience feel will be applied.

General Information

Name of Firm or Individual *

Contact Name *

Email *

Phone # *

Address *

manual address entry

Address 1 *

Address 2

City *

State *

ZIP code

Country *

Latitude

Longditude

Ownership

Type of Company *

Federal Taxpayer ID # *

Accounting Contact Name *

Principal #1 Name *

Title *

Phone *

Address *

manual address entry

Address 1 *

Address 2

City *

State *

ZIP code

Country *

Latitude

Longditude

Principal #2 Name

Title

Phone

Address

manual address entry

Address 1 *

Address 2

City *

State *

ZIP code

Country

Latitude

Longditude

References

Reference 1 *

Business Name & Contact

Email *

Phone *

Fax *

Reference 2 *

Business Name & Contact

Email *

Phone *

Fax *

Reference 3 *

Business Name & Contact

Email *

Phone *

Fax *

Reference 4

Business Name & Contact

Phone

Fax

Agreement

I/We understand and agree that any credit granted shall be paid promptly in accordance with terms and agreements, that the credit grantor may add one and one-half percent (1 1/2%) per month to any balance owed, and in event of default to pay reasonable collection charges and/or attorney fees. Electronic Signatures - By submitting this form we certify all of the information is correct. We also authorize the references to release information regarding our account. We agree to payment in accordance to the terms of extended credit.

Signed *

Title *

Leave this field blank