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