Credit Application

Welcome to CPC

Thank you for choosing CPC Printing & Promotions. Please complete this form so we may extend appropriate credit.

Sales Representative

Please select your CPC Sales Representative.

Preferred Payment Method*

Please let us know how you plan to pay for services and note the following:

• A 50% deposit is required for all first-time customer projects.
• "Cash Only" customers are not required to complete the Credit Data section of this application.

Credit Data

Sales Tax Exempt*

Tax Exempt Number*

Sales Tax Exemption Certificate*

In order for sales to be tax-exempt, an exemption certificate must be attached. If you do not have a certificate, change your Tax Exempt status to "No"

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB.

Owner's Name*

First Last

Owner's Home Address*

Street Address Address Line 2 City State ZIP Code

Owner's Phone*

Owner's Email*

Incorporation*

Is your business incorporated? (Sole Proprietorship, Limited Liability Company, C Corporation, S Corporation, etc.)

Year of Incorporation*

Federal Tax Number (TIN / EIN)*

Bank Name*

Account Number*

Bank Contact Name*

First Last

Bank Address*

Street Address Address Line 2 City State ZIP Code

Bank Phone*

Bank Fax Number

Bank Contact Email

References

Please include business references that currently provide you a credit limit equal to or greater than the amount of credit you are requesting. At least two references are required - three are recommended.

How Many References Do You Have*

Name - 1st Vendor Reference*

Contact - 1st Vendor Reference*

Phone - 1st Vendor Reference*

Email - 1st Vendor Reference*

Reference 2 Name*

Reference 2 Phone*

Reference 2 Email*

Reference 3 Name*

Reference 3 Phone*

Reference 3 Email*

Affirmation of Accuracy*

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended.

Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to Crescent Printing Company and/or its designated agents in order to verify the information contained herein.

I affirm that the following statement is true.

Terms & Conditions

• CPC Printing & Promotions will proceed with the above-described job, before credit is approved, if the customer agrees to pay fifty percent (50%) of the quoted price before plating, with the balance to be paid before shipping. Payment must be made with a certified cashier's check or money order.

• A 50% deposit is required for all first-time customer projects.

• All payments made via credit card will include a 3.5% surcharge.

I agree to the following Terms & Conditions

Signature

Email

This field is for validation purposes and should be left unchanged.

Welcome to CPC

Company Information

Credit Data

References

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