| Credit Application {Complete and FAX to: (203) 924-0285} | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| The undersigned company is applying for credit with Wayne June Voice Talent and agrees to abide by the standard terms and conditions of Wayne June Voice Talent as stated herein. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Company name | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DBA (if different) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Contact person | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | Fax | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Federal tax ID or Social Security number | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Type of Business | No. of employees | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Date business established | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Types of services you will purchase | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Amount of credit requested $ | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Are you a : | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CORPORATION State of incorporation |
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| Names, titles, addresses of your three chief corporate officers | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Name and address of your resident agent | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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PARTNERSHIP Names and addresses of the partners |
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SOLE PROPRIETORSHIP Are you tax exempt? YES___ NO___
Have you ever had credit with us before?
YES___ NO___
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Authorized purchasers |
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Purchase order required?
YES___ NO___
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TRADE REFERENCES |
Reference # 1
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Name
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Address
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Phone
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Reference # 2
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Name
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Address
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Phone
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Reference # 3
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Name
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Address
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Phone
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BANK REFERENCES |
Bank # 1
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Account#
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Phone
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Contact person
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Name of bank
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Address
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Bank # 2
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Account#
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Phone
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Contact person
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Name of bank
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Address
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I represent that the above information is true and is given to
induce Wayne June Voice Talent to extend credit to the applicant.
My company and I authorize Wayne June Voice Talent to make such
credit investigations as Wayne June Voice Talent sees fit,
including contacting the above trade references and banks and obtaining
credit reports. My company and I authorize all trade references, banks,
and credit reporting agencies to disclose to Wayne June Voice Talent
any and all information concerning the financial and credit history
of my company and myself. I have read the terms and conditions stated below
and agree to all of these terms and conditions.
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Authorized signature:
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Printed name:
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Title: |
Date: |
GENERAL TERMS AND CONDITIONS AND PERSONAL GUARANTEE
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1. All bills become payable in full on the 11th day after the completion of your project and if not paid within 30 days of the completion of your project are considered past due. 2. A service charge of 2% per month will be added to all amounts billed if not paid by the 30th day after completion of your project. 3. No additional credit will be extended to past due accounts unless satisfactory arrangements are made with our credit department. 4. PERSONAL GUARANTEE: If the credit customer is a corporation, then those signing this application, whether signing as an officer or not, personally guarantee payment for all items purchased on credit by the corporation. | ||||||||||||||||||||||||||||||||||||||