Company Check Approval Form Date: ______________
Company
Name: ___________________________________________________________
Address: __________________________________
Tax Exempt #:
Zip/Postal
Code: ________________ Years
at address: _____
Telephone: ( ) - / Fax: ( )
-
Date Business Started: __________________________________
Yearly
Sales: __________________________________
D&B: __________________________________
Principal Name: ______________________
Title: ____________ S.S.#: _____________
Home Address: __________________________________
City: __________________________________
State: ______________
Zip/Postal
Code: ________________ Home
Telephone: ( ) -
Company Bank: _________________________________________________________
Bank
Address: __________________________________
City: __________________________________
State: ______________
Zip/Postal
Code: ________________ Bank
Telephone: ( ) -
Account #: _______________________
I hereby authorize
Century Graphics & Metals, Inc. to fully evaluate the information furnished
above, to perform credit inquires, and to request verification from banking and
trade references. The information shown herein is offered for your
consideration as a basis for the extension of credit to us. It is understood
that payment will be rendered in full in accordance with the terms noted on
your invoice. Past due items may be subject to Finance Charges. In the event
credit is extended to the firm or business making this application, whether it
be a corporation, partnership, proprietorship or other entity, the undersigned
person or persons, individually, in consideration of such extension of credit,
hereby personally guarantees payment in full of all amounts due for materials
purchased from Century Graphics and Metals, Inc. Should it become necessary to
enforce collections, the undersigned agrees to pay the cost of Collection,
including reasonable attorneys' fees.
Authorized Signature: ____________________ Date: _________________
PLEASE ALLOW 3 WEEKS
FOR PROCESSING! If Credit Terms Are Desired, Complete the Credit Application.
Return To: Century Graphics & Metals, Inc. 3497