| A. * Company Name: |
|
| Date: |
|
| Address: |
|
| City: |
|
| State: |
|
| Zip Code: |
|
| Phone Number: |
|
| Fax Number: |
|
| Email Address: |
|
| B. Type of Business: |
Commercial Printer
Quick Printer
Institutional
Government Agency
Other
|
| C. Name of Principals or Officers: |
| 1. Name: |
|
| Position: |
|
| Address: |
|
| 2. Name: |
|
| Position: |
|
| Address: |
|
| D. How Long In Business?: |
Years
|
| E. Bank: |
|
| Account #: |
|
| Address: |
|
| Contact: |
|
| F. Trade References-Current Paper Supplier(s) Required: |
| 1. Name: |
|
| Phone #: |
|
| Fax #: |
|
| 2. Name: |
|
| Phone #: |
|
| Fax #: |
|
| 3. Name: |
|
| Phone #: |
|
| Fax #: |
|
| G. Expected Sales: |
| Yearly $: |
|
| Monthly High $: |
|
Expected Products To
Be Sold: |
|
| H. Additional Comments: |
|
