CREDIT APPLICATION 1013 Veterans Dr., Lewisburg, TN 37091 Phone: 800-359-2917 • Fax: 800-525-7865 Contact Information:


Buyer: Company Name: Address: City:


Country: Phone: Email: Fax:


Accounts Payable Contact: Phone: Email:


Type of Location:


o Shopping Mall o Strip Mall


o Other: Please explain References:


o Creative Coop o Demdaco o Ganz


o Other trade references:


Terms and Conditions: Name:


Name: Name:


Phone Number: Phone Number: Phone Number:


Fax Number: Fax Number: Fax Number:


All accounts are checked in advance, or credit card is needed until a credit application has been completed, reviewed and approved. If any indebtedness incurred pursuant to this request for credit is not paid in full when due, the undersigned agrees to pay all costs of collection, including a reasonable attorney’s fee. Any unpaid balance shall bear interest at the rate of 1.8% per month or the maximum rate permitted by applicable law, until paid in full.


Signing this agreement indicates your acceptance of the terms and conditions as stated. In addition, you authorize any and all inquiries necessary to process the credit application.


I am currently the


on behalf of the company. Signature:


80 for Title: 1.800.359.2917 and I have authority to execute this agreement Date: www.stephanbaby.net


o Giftcraft Inc. o Midwest-CBK o Mud Pie


o Baby Aspen o Tag


o CR Gibson o Little Giraffe


o Free Standing o Non-Profit


Other Store Information: State: Zip:


Check one: o Corporation o Partnership o Individual (SSN):


List Owner’s Name and Address:


Type of Business: Date Started: Federal Tax ID #: State Reseller Permit #:


Associations:


o GHTA o NSS


o Other: Please explain


o CBA o Collectible


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