Credit Application
COMMERCIAL ACCOUNT APPLICATION
Two ways to fill this out - use the method you prefer!
1) Fill-in the form below and click 'submit', OR
2) Print this page, fill it in, and fax it to 512-835-4046


General Information

Contact Name:
Title:
Company/Assoc.:
Address:
City:
State: Zip:
   
Phone: ( ) - x.
Fax: ( ) -
Contact's Email:


Business Information

How Long in Business Under This Name?:
Nature of Your Business:
Business Structure:
Location of Home Office:
Account Will be Paid from:
Notes:
Names of Principals:
NAME TITLE
References

1) Bank
  Type of Acct.
  Acct. Number
2) Bank
  Type of Acct.
  Acct. Number

Please list at least 2 local firms with whom you have credit. Accounts which have been inactive for more than 1 year or active for less than 2 months are not acceptable. Personal charge accounts are not acceptable.

1) Firm Acct. No.
 
  Address Phone
 
2) Firm Acct. No.
 
  Address Phone
 
3) Firm Acct. No.
 
  Address Phone
 

I have read and understand the credit terms of Priority Copy, Inc. listed in the section of this application and agree to these terms.

I hereby authorize the above named firms and banking institutions to furnish information requested to Priority Copy, Inc., to process this application and I agree that the said persons shall not be liable for any claim or damages as a result of furnishing the requested information.


Terms

Signature: Title:

For Company and Personally

BY YOUR SIGNATURE, YOU ARE INDICATING YOUR UNDERSTANDING AND ACCEPTANCE OF THE FOLLOWING TERMS AND CONDITIONS:

Statements listing all charged invoices will be mailed to you on or about the first day of each month. All invoices listed will have been charged on or prior to the last day of the previous month. All invoices listed on each statement become due and payable by the 10th day of the month. Accounts which are not kept current may, at the discretion of Priority Copy, revert to a C.O.D. basis. The minimum amount of a charge sale is $1.00.

STATE SALES TAX EXEMPTION CERTIFICATE

Purchaser holds valid permit number issued under Limited Sales Excise and Use Tax Act of the State of Texas which has not been revoked or suspended. Goods purchased are for and are not subject to State Sales Tax.

Signature: Title:

YOU WILL BE CONTACTED BY MAIL REGARDING THE STATUS OF YOUR ACCOUNT WITH PRIORITY COPY, INC. PLEASE REPORT IMMEDIATELY ANY PROBLEM REGARDING YOUR ACCOUNT.

Tax Exempt Form (Resale)

Tax Exempt Form (Non-Profit)

THANK YOU.

PRIORITY COPY, INC.
2510 Rutland Dr.
Austin, Texas 78758

512-835-5998