| |
Dear Prospective Customer:
Please fill out the information requested as completely as possible, if you desire to use our 30 DAY CREDIT TERMS. Interest on unpaid accounts of more than 30 days will be charged at the rate of 18% annually, or 1% per month on the unpaid balance. We must ask that you PLEASE honor the 30 DAY Terms. Please type or print the requested information. Thank you so much! |
| Date: __________________ |
| |
I |
Publisher Trade References |
| |
(1) |
_____________________________________________________________________ |
| |
(2) |
_____________________________________________________________________ |
| |
(3) |
_____________________________________________________________________ |
| |
II |
Bank References |
| |
(1) |
_____________________________________________________________________ |
| |
(2) |
_____________________________________________________________________ |
| |
III |
General Questions |
| |
(1) |
Is your store a member of the Christian BookSellers Assn? ____________ How Long? _________ |
| |
(2) |
How long has your store been in operation? __________________________ |
| |
(3) |
State Sales Tax Permit Number (If required by your State ____________________ |
| |
Stores Exact Name _____________________________________________________________ |
| |
Street Address _______________________________________________________________ |
| |
City: __________________________
State: ___________
Zip: _______________ |
| |
Phone Number _________________________ |
| |
Fax Number ___________________________ |
| |
Email Address ___________________________________ |
| |
Owners Name _______________________________________________________ |
| |
Managers Name _____________________________________________________ |
| |
Manager or Owners Signature _____________________________________________________ |
