Add Credit Application

Order Digitizing Request Quote Order Vector

Confidential Credit Application (* all fields are required)

Credit Information

Company Name

Billing Address

Phone Number *

Fax Number

Account Payable Contact

Organization Type

Sole Propriertorship

Partnership

Corporation

Year Established *

Resale Number (if tax exempt) *

Principals

Owner

President

Owner / President's Name *

Vice President *

Principal Bank *

Address *

Account Number *

Bank Contact *

Phone Number

Fax Number

Reference 1

Company Name *

Address *

Phone Number *

Fax Number *

Contact *

Credit Limit *

Correct Format is (100.00)

Average Pay Day *

Correct Format is (100.00)

Reference 2

Company Name

Address

Phone Number

Fax Number

Contact

Credit Limit

Correct Format is (100.00)

Average Pay Day

Correct Format is (100.00)

Reference 3

Company Name

Address

Phone Number

Fax Number

Contact

Credit Limit

Correct Format is (100.00)

Average Pay Day

Correct Format is (100.00)

Credit Card Information *

Card Type *

Issuing Bank *

Credit Card Number *

Bank Phone *

Expiration *

Month

Year

A current & valid credit card is required for receiving credit terms from 24hourdigitizing.com. The card will only be charged if an account has Expiration gone 10 days past due.

Authorization: I hereby authorize the release of information to 24hourdigitizing.com from the bank and references listed above. The Undersigned "Customer" hereby applies for trade credit with 24hourdigtizing.com. I agree to pay all amounts owed to 2ahourdigitizing.com in accordance with 24hourdigitizing.com standard terms and conditions of sale, including any credit card purchases that are charged back to 24hourdigitizing.com or any purchases by check that are returned as uncollected. Customer is responsible for return or chargeback fees, late fees of two percent per month on past due balances, plus collection fees, court costs & attorney's fees. Customer warrants that all information provided in this application and any supporting documents are true in all material respects, and that any false or misleading information can result in the restriction or revocation of Customer's credit privileges. I grant 24hourdigitizing.com authorization to charge the above credit card the total amount of any past due invoices plus an additional 2% transaction fee after the account has reached 10-days past due. I hereby swear that the above credit card is issued in my name and I have authorization to make purchases.