Label.com
400 Chestnut Street Ext Bradford, PA 16701
(814) 362-3252

We always welcome your phone call or fax!
Phone - 1.877.522.5266 
Fax - 1.814.362.3321

Credit Application



             
Date: 6/28/2017 Credit Line Amount:

Bill to Address

Type of Business

Company:



Other:
Street:
PO Box
City:
State:
Zip:
Phone:
Fax:
E-mail:
 

Principles

please list top executives
Name: Name:
Position: Position:
Street: Street:
PO Box: PO Box:
City: City:
State: State:
Zip: Zip:
 

Type of Entity

ID Number(s)



Social Security #:
Years in business:
  
If this is a branch location, provide name and location of parent/home office:
 
Person to contact regarding future accounts payable info:
 
Phone: Fax:
Email:
 

References

please provide bank plus 3 suppliers
Bank Name:   
Branch Name:
Account Type:
Account #:      
Bank Address: Supplier Name:
Street: Street:
PO Box: PO Box:
City: City:
State: State:
Zip: Zip:
Phone: Phone:
Fax: Fax:
Email: Email:
 
Supplier Name: 
Supplier Name:
Street: Street:
PO Box: PO Box:
City: City:
State: State:
Zip: Zip:
Phone: Phone:
Fax: Fax:
Email: Email:
       
To establish an open credit account, we must (by law) have a copy of your tax exempt certificate on file. Please submit a copy by fax when you send this application. Our fax number is 814.362.3321

Click Here to Download the Tax Exempt Certificate Form 
   

Certification and Authorization to release information:

I hereby certify that the information in this credit application is correct. The information included in this credit application is for the use of Label.Com in determining the amount and conditions of credit to be extended. I understand that Label.Com may also utilize other sources of credit information which it considers reliable in making the determination. Further, I hereby authorize the bank and supplier references listed in this credit applications to release the information necessary to assist Label.Com in establishing a line of credit.

 
My signature also indicates receipt and acceptance of Label.Com terms and conditions.
 
Signature:
Title: Date:
 

Terms and Conditions

 
 
 
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