SABO STUDIOS
ACCOUNT APPLICATION FORM
Please complete all sections of the form and fax to 614-837-4067
BASIC INFORMATION
Business Name: ________________________________________________________________
Trade Name or DBA: ____________________________________________________________
Mailing Address: _______________________________________________________________
______________________________________________________________________________
City: _______________________ State: _________________________ Zip: ______________
Telephone: ___________________________ Fax: ___________________________________
Shipping Address: _______________________________________________________________
_______________________________________________________________________________
Year Started: __________________________
Tax Exempt # __________________________
Do you use Purchase Orders: Yes:
Names of persons authorized to make purchases or sign purchase orders: _____________________ ________________________________________________________________________________
Name of person responsible for accounts payable: _______________________________________
INFORMATION ON OFFICERS/OWNERS
Name: ________________________________________________________________________
Title: ______________________________________
Address _______________________________________________________________________
______________________________________________________________________________
Social Security #: _____________________________
BANK INFORMATION
Bank Name: _________________________________
Address: ______________________________________________________________________
City: ______________________ State: ___________________ Zip: ____________________
Checking Account #: _________________________________
Savings Account#: __________________________________
TRADE REFRENCE: #1
Name: ___________________________________
Phone: ___________________________________ Fax: _______________________________
TRADE REFRENCE: #2
Name: ___________________________________
Phone: ___________________________________ Fax: _______________________
TRADE REFRENCE: #3
Name: ____________________________________
Phone: ____________________________________ Fax: _______________________
CREDIT CARD GUARANTEE
Card Type: VISA
Credit Card # : _________________________________________
Expiration: ____________________________________________
I, the undersigned, hereby authorize my credit card, as listed above, to be used as a guarantee of payment for all outstanding charges for above named account.
Cardholder Name: _______________________________________
Signature: _____________________________ Date: _____________________________
CONDITIONS OF SALE
In consideration of Sabostudios extended credit to the applicant the applicant agrees to pay for all items delivered to, or at the request of the applicant in accordance with the terms of the invoice: Any invoice unpaid on the last day of the month in which it is due will be subject to a 1.5% monthly service charge and an additional 1.5% services charge (annual percentage rate 18%) will be due every thirty (30) days thereafter. Should it become necessary to place the account with a collection agency or attorney, the applicant agrees to pay all collection costs and attorney fees in addition to the other sums due.
Applicant in signing this application also authorizes the above listed banking and trade refrences be reposed to credit inquires regarding the applicants account.
Understood and signed:: _________________________ Date: ____________________
Print Name: ____________________________________________
Title: __________________________________________________
FAX TO: 614-837-4067