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Please print, complete, and return this application to theresa.gaspar@i-o-p.com or fax 605-371-1665.

Interstate Office Products, Inc.

Credit application

Business Contact Information

Title:

Company name:

Phone:

Fax:

E-mail:

Registered company address:

City:

State:

ZIP Code:

Date business commenced:

Sole proprietorship:

Partnership:

Corporation:

Other:

Business and Credit Information

Primary business address:

City:

State:

ZIP Code:

How long at current address?

Telephone:

Fax:

E-mail:

Bank name:

Bank address:

Phone:

City:

State:

ZIP Code:

Type of account

Account number

Savings

 

Checking

 

Other

 

Business/trade references

Company name:

Address:

City:

State:

ZIP Code:

Phone:

Fax:

E-mail:

Type of account:

Company name:

Address:

City:

State:

ZIP Code:

Phone:

Fax:

E-mail:

Type of account:

Company name:

Address:

City:

State:

ZIP Code:

Phone:

Fax:

E-mail:

Type of account:

Agreement

1.   All invoices are due the 10th day of the month following purchase.

2.  The highest legal rate of interest may be charged on past due accounts.

3.   Claims arising from invoices must be made within seven working days.

4.   By submitting this application, you authorize Interstate Office Products to make inquiries into the banking and business/trade references that you have supplied.

Signatures

Title:

Date:

Title:

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Information: 

 

Company Name       _____________________________________________________________________

 

Street Address        _____________________________________________________________________

 

City, State  Zip       _____________________________________________________________________

 

 

Thank you for your interest in establishing an open account with us.  Please complete this page along with the attached Credit Application and fax it back to Theresa Gaspar at 605-371-1665. 

 

Would you be interested in ordering from our on-line catalog?   _____yes_____no

 

If “yes”, please provide us with contact information.

 

Name ________________________________ Phone ____________ Email address_____________________

 

Please provide us with a contact person in your Accounts Payable department:

 

A/P contact: ___________________________ Phone:____________ Email address_____________________

 

We have two options for receiving invoices and statements.  Please select the one that you prefer:

 

______          Please email my invoices/statements to the attention of: __________________________

                   at the following email address: ______________________________

 

______          Please fax my invoices/statements to the attention of ____________________________

at the following fax number: _____________________

.

 

 

Is your company Tax Exempt?     _____yes                _____no

 

If “yes”, please provide us with a copy of your Sales Tax Exemption Certificate.

 

Will you be purchasing items for Resale?        _____yes                _____no

 

If “yes”, please provide us with a Sales Tax Exemption Certificate.

 

Thank you in advance for your assistance in providing this information. We look forward to doing business with you.  If you have any questions, please call me at 605-371-3676.

 

Sincerely,

Theresa Gaspar, Controller

 

 

 

228 S. Main Avenue, PO Box 908 , Sioux Falls, SD57101-0908

Phone: 605-339-0300    Fax 605-339-1989

http://www.i-o-p.com/     email: iop@i-o-p.com

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