(408) 374-6895 cs@etchedmedia.com
Credit Application

Credit Application

Business Information:

Business Structure
Address
Address
City
State/Province
Zip/Postal

Bank information:

Trade References

Address
Address
City
State/Province
Zip/Postal

Address
Address
City
State/Province
Zip/Postal

Address
Address
City
State/Province
Zip/Postal

Officers / Partners:

Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal

If credit is granted I (we) promise to pay bills when rendered. I (we) understand all invoices are payable in 30 days from the invoice date and that a service charge of 1 1/2% per month will be added to my (our) past due account. In the event, payment is not made and my (our) account is referred to a collection agency, I (we) will pay all costs of collection. If legal action is required I (we) will pay reasonable attorney’s fees resulting from such action. I (We) authorize the above-listed Bank(s) and trade references to release to Etched Media Corporation credit or financial information as required. I (We) further agree to comply with Etched Media Corporation’s terms and conditions, attached.

Name
Name
First
Last