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CREDIT APPLICATION FORM
BUSINESS INFORMATION
Your Full Name:
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Your Email:
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Name of Business
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Billing Address
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City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Business Phone Number
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What Sales Rep or Sales Team have you been working with at Logo Concepts?
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What is your annual budget for swag and marketing?
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Are you sales tax-exempt? (if yes, please attach a copy of your sales tax-exempt certificate. If we do not receive your certificate, we are required to charge sales tax.
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Yes
No
Sales tax-exemption form upload
Do you require a PO?
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Yes
No
Credit Amount Requested
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ACCOUNTS PAYABLE CONTACT INFORMATION
Contact Full Name
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Phone Number
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Email Address
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Email Address for invoices (if different, if it is not, put "same")
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