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Albuquerque Reprographics, Inc. 4716 McLeod N.E. Albuquerque, NM 87109 Phone: (505) 884-0862 Fax: (505) 884-1977 Email: accounts@abqrepro.com Website: www.abqrepro.com CRS # 01-000069000 Federal Tax ID # 85-001 8860 | |||||||||
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CREDIT APPLICATION | |||||||||
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Company Name:__________________________ Type of Business: _______________________________________ Mailing Address: __________________________ City: _________________________ State: ______ Zip: ________ Delivery Address: _________________________ City: _________________________ State:______ Zip: _________ Telephone ( ) _______________________________ Fax: ( ) ____________________________________________ 0 Individual 0 Corporation 0 Partnership Name of Owner: ________________________________________________ Estimated Monthly Expenditure:$___________________ NOTE: A MINIMUM MONTHLY EXPENDITURE OF $300.00 IS REQUIRED TO JUSTIFY OPENING AN ACCOUNT. IF THIS AMOUNT IS NOT A REALISTIC FIGURE, A CREDIT CARD ACCOUNT MAY BE OPENED. TYPE OF ACCOUNT DESIRED: ____ OPEN ACCOUNT FEDERAL ID #: __________________________________________________________________________ ____CREDIT CARD ACCOUNT CREDIT CARD #: _________________________________________________________________ TYPE OF CARD: __________ EXP: _______________ NAME ON CARD: _______________________________________________
SALES TAX STATUS ___________(We must have a copy of the Tax certificate on file.) | |||||||||
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Please Check One: | |||||||||
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______Exempt Requires NTTC - TYPE 2 (Resale) ______Resale Requires NTTC - TYPE 5 (Service For Resale) ______U.S. Gov't. Agency Requires NTTC - TYPE 9 (Gov't. Agencies/Org.) | |||||||||
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VENDOR REFERENCES Business Name: ________________________________________________________________________________ Address: ____________________________________ City/State: ___________________________ Zip: _________ Phone: (____) _____________________________ Fax: (____) __________________________________________ Notes: _______________________________________________________________________________________ | |||||||||
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AUTHORIZED SIGNATURE (PARTNER, PROPRIETOR OR CORPORATE OFFICER) APPLIED FOR BY: ___________________________________TITLE: ____________________________________ PRINT NAME: _______________________________________DATE: ____________________________________ | |||||||||