New Customer Credit Application

Welcome to CPC Printing & Promotions

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

Sales Representative(Required)

Please select your CPC Sales Representative.

Preferred Payment Method(Required)

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(Required)

Tax Exempt Number(Required)

Sales Tax Exemption Certificate(Required)

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(Required)

First Last

Owner's Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Owner's Email(Required)

Owner's Phone(Required)

Incorporation(Required)

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

Year of Incorporation(Required)

Federal Tax Number (TIN / EIN)(Required)

Bank Name(Required)

Account Number(Required)

Bank Contact Name(Required)

First Last

Bank Address(Required)

Street Address Address Line 2 City State ZIP Code

Bank Contact Phone(Required)

Bank Contact Email(Required)

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. Please note that your first reference must be a vendor that you currently do business with.

How Many References Do You Have(Required)

Vendor Reference Company Name(Required)

Vendor Reference Contact Name(Required)

Vendor Reference Email(Required)

Vendor Reference Phone(Required)

Reference 2 Name(Required)

Reference 2 Phone(Required)

Reference 2 Email(Required)

Reference 3 Name(Required)

Reference 3 Phone(Required)

Reference 3 Email(Required)

Your Printed Signature(Required)

"signatures" could include: /john smith/; /js/; /js123/, etc

Signature(Required)

Draw your signature with your mouse, stylus or finger, depending on your device.

Name

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

Welcome to CPC Printing & Promotions

Company Information

Credit Data

References