Old Trail Online Credit Application
To download a PDF version of this form, Click Here .
         
    Your Name*:  
        Email*:  
    Company Name*:  
    Street:  
    City:  
    State:  
    Zip Code:  
    Phone:  
    Fax:  
    Type Of Business:  
    Sales Tax Exempt:  
    Have you ever been rejected for credit:  
    OTP Sales Representative:  
     
  Company Officers  
    Proprietor / Officer / Partner:  
    Home Address:  
    City, State, Zip:  
    Home Phone:  
     
    Proprietor / Officer / Partner:  
    Home Address:  
    City, State, Zip:  
    Home Phone:  
     
  Bank References  
Bank Name:
    Account #:  
    Address:  
    Contact:  
    Phone:  
     
    Bank Name:  
    Account #:  
    Address:  
    Contact:  
    Phone:  
     
  Supplier References  
    Supplier Name:  
    Address:  
    Phone :  
Contact Name:
    Contact Email:  
    Supplier Name:  
    Address:  
    Phone:  
    Contact Name:  
    Contact Email:  
     
    Supplier Name:  
    Address:  
    Phone:  
Contact Name:
    Contact Email:  
     
     
  First Order Requirements: 50% in advance with the remaining 50% C.O.D.
Future projects will be net 30 days with a 1.5% monthly service charge based upon credit approval.
 
         
     
  I hereby authorize Old Trail Printing to contact the listed references to gather the information neccessary to
obtain credit approval. Further contact is authorized to update and maintain the credit approval.

I certify that the information given above is true and accurate to the best of my knowledge and I agree
to the terms set forth in this application.
 
         
    Signature:  
    Title:  
    Date:  
         
Additional Information:
 
 
   
   
   
   
   
   
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