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Credit Application & Customer Information Sheet

Manila Tel. No.: 02 - 6429921 Fax No.: 02 - 6418046


Cebu Tel. No.: 032 - 5052428 Fax No.: 032 - 5052429 Area:
CDO Tel. No.: 088 - 8801613 Fax No.: 088 - 8801614
Sales Rep.:
Type of Organization & List of Required Documents Type of Business

Corporation - SEC Registration, List of Incorporators, BIR 2303 Certificate of Registration Printing Press
Paper Dealer
Partnership - SEC Registration, List of Incorporators, BIR 2303 Certificate of Registration
School/Office Supplies Store
Single Proprietorship - DTI Registration, BIR 2303 Certificate of Registration
Jobber
Cooperative - SEC Registration, BIR 2303 Certificate of Registration
Digital Printing/Copy Center
Individual (personal use) Institutional__________________
(If known by any name other than
Registered Business Name (as stated in your BIR 2303) Trade Name Registered Business Name) TIN No.

If sole proprietor or individual - Last Name / First Name / Middle Initial

Official Address: Delivery/Shipping Instruction:


Head Office: Factory Trucking Subcontractor
Address:

Factory: Receiving Day:

Receiving Time:
Branches:
Other Instructions:

Contact Nos.: Fax Nos.: Email Address Contact Person


Office Number: Name:

Mobile Number: Designation:

Do you issue Purchase Orders? Yes No


Authorized Signatories for Purchase Orders (pls indicate name and signature)

1. ________________________ 2.________________________ 3. _________________________ 4. ________________________

Items you intend to purchase


Coated Papers Specialty Papers Carbonless Papers Papers for Digital Printing

Trade References
Suppliers Contact Person Contact Nos. Yrs. of Trans.
1. ______________________________________ _____________________ ________________________ ______
2. ______________________________________ _____________________ ________________________ ______
3. ______________________________________ _____________________ ________________________ ______

Major Clients / Customers


Customers Contact Person Contact Nos. Yrs. of Trans.
1. ______________________________________ _____________________ ________________________ ______
2. ______________________________________ _____________________ ________________________ ______
For Credit Application only

For Printing Presses and Copy Centers:


Offset press____color/s x____no. of units Letter press x____no. of units
Guillotine Cutter____inches x____no. of units Large format printer______brand x no. of units
Digital color laser printer/copier____________brand x____no. of units Others: _________________________________

Credit Accommodation
Terms requested ___________________________________
Credit Amount requested __________________________________ Follow up schedule (If applicable) _____________________
Collection Schedule: ______________________________________ Collection Address: _________________________________
Do you require counter receipts? Yes No Countering schedule _________________________________
Do you issue BIR 2307? Yes No If so, when do you release the certificate? upon payment monthly quarterly

Bank References (Please note that we will only accept check payments from these bank account once credit terms are approved)
Bank/Branch/Account Name Account Number Contact Person Contact Nos. Yrs. of Trans
1.
2.
3.

I hereby certify that the above information given are true and correct.

Printed Name / Date / Signature


(must be signed by the owner (single prop) or one of the incorporators (coops and corporations)
Registered Name

Trade Name

SRs Report & Recommendation:


DR SI DR + SI C
Visit Date:
Findings: No. of machines verified ______ offset ______ digital ______ others

Recommendation: Credit Limit _____ / Terms ______ / discount ______


DATE: REMARKS:

Credit & Collection Findings


Bank: __________________________ Bank: __________________________ Bank: __________________________
Bank A/c: _______________________ Bank A/c: _______________________ Bank A/c: _______________________
No. of years: ____________________ No. of years: ____________________ No. of years: ____________________

KOOs Approval

Please do not fill-in this box


Amount approved:____________________ Terms ___________________ Classification _________________
Approved by:________________________ Date: ___________________ Enforce Credit Hold: ___________
DATE: REMARKS:

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