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New Account Credit Information
Please complete and return

Customer Name:_______________________________________________________
Mailing Address:_______________________________________________________
City/State/Zip:_________________________________________________________
Office Number:______________________Fax Number:________________________
E-Mail Address:________________________________________________________
Accounts Payable Contact:______________________________________________
Number of Years in Business:____________________________________________

Bank Reference:

Name:_______________________________________________________
Address:_____________________________________________________
City/State/Zip:________________________________________________
Office Number:_________________Fax Number:_____________________
Contact Name:________________________________________________
Account Number:______________________________________________

Credit Reference:

Name: ______________________________________________________
Mailing Address:_______________________________________________
City/State/Zip:________________________________________________
Office Number:_________________Fax Number:_____________________
Contact:_____________________________________________________

Name:_______________________________________________________
Mailing Address:_______________________________________________
City/State/Zip:________________________________________________
Office Number:_________________Fax Number:_____________________
Contact:_____________________________________________________

Name:_______________________________________________________
Mailing Address:_______________________________________________
City/State/Zip:________________________________________________
Office Number:_________________Fax Number:_____________________
Contact:_____________________________________________________


_____________________________
Signature/Title

_____________________________
Date


Attn: Accounting
Fax: (330) 833-7797

Unitron
Priniting Solutions

Phone: (877) 787-1377

































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