Rasch
Graphic Services Corporation 7211 N. Gessner Drive Houston, TX 77040-3143 713/800 785-5750 Fax 713/800 785-5801 |
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To generate an account please print these forms, fill out completely, and fax or mail to Rasch Graphic Services Corporation. 1.
Credit Information Release Authorization |
Agreement for Graphic Finishing Services © 2008-2014 | |
By way of this application, we the undersigned company or individuals, hereby request the graphic finishing services of Rasch Graphic Services Corporation. We have read the Terms and Conditions of this Agreement and accept them as stated. | |
Full
Company Name:
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DBA
(if applicable):
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Street
Address :
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City,
State, ZIP:
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Phone:
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Fax:
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Nature
of Business:
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Ownership:
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_____ INDIVIDUAL |
_____ PARTNERSHIP | |
_____ CORPORATION | |
If
Proprietorship or Partnership, please list:
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Owner(s): |
SS #: | |
Owner(s): | |
SS #: | |
If
Corporation, please list:
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State of Incorporation: |
Federal I.D. Number: | |
Officers:_______________ Title:_______________ | |
Officers: Title: | |
Officers: Title: | |
Is
your Company a
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_____ BRANCH? _____ SUBSIDIARY? |
Name of Parent Company: |
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Number
of Employees:
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Preferred
Payment Method:
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_____ Cash on Delivery |
_____ 30-Day Open Account | |
_____ Mastercard/Visa Card # | |
Expiration: ________ Name on Card | |
Years
in Business:
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Years
at Current Address:
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Do
you use Purchase Orders?
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_____ YES |
_____ NO | |
_____ VERBAL | |
_____ NONVERBAL | |
Purchases
are :
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_____ TAXABLE |
_____ NONTAXABLE (If nontaxable, you must complete an exemption certificate.) | |
Person
to Contact Regarding Account:
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PHONE: ( ) _______-_____________ EXT._____ |
It shall be agreed that any company representative is authorized to place orders with Rasch Graphic Services Corporation and any of its representatives, unless otherwise noted below or in writing to Rasch Graphic Services Corporation. | |
Persons not authorized to place orders: | |
CREDIT REFERENCES: Please list four (4) businesses where you have had an open account in the past year. Graphic arts firms are preferred. | |
Name | Address |
Phone | Account # |
Name | Address |
Phone | Account # |
Name | Address |
Phone | Account # |
Name | Address |
Phone | Account # |
Bank Reference: |
Bank | Address |
Phone | Account # |
Anticipated Monthly Purchases: $ |
THIS IS A LEGAL DOCUMENT. PLEASE CONSULT YOUR ATTORNEY BEFORE SIGNING THIS AGREEMENT. This document may be transmitted between parties by facsimile transmission, computer modem, or any other electronic conveyance. Such communications shall be specifically authorized by both parties, and it is hereby agreed that any such secondary document(s) produced as a result of such transmission, including copies and signatures of the parties, may be used as an original of the same. |
Seller: | Buyer: |
The
Seller hereby accepts this agreement: |
Company: |
Rasch
Graphic Services Corporation 7211 N. Gessner Drive Houston, TX 77040-3143 |
Street Address: |
City: | |
State: | |
Accepted by: | Zip: |
Printed Name: | Signature: |
Title: | Printed Name: |
Date: | Date: |
This Agreement must be signed by an officer if the applicant is a corporation, or by owner if a sole proprietorship or partnership, and by an officer of seller, RGSC. 1.
Credit Information Release Authorization Copyright © 2008-2014 Rasch Graphic Services Corporation |