Resale / Wholesale
Note and Greeting Cards:
Nature and Outdoor Photos

 Note and Greeting Cards: Outdoor and Nature Photos. NaturesPix: Personal photography by Doug and Ellen Smith
 

Additional Options
Open Account Credit Application Form
Print, fill out and send to: NaturesPix, 519 Mills St, Lafayette, CO 80026
For the purpose of obtaining merchandise on credit, the undersigned certifies the following statement to be true and correct. We, hereby, authorize NaturesPix to contact these references to obtain our credit history.
Company Name:_______________________________________________________________
Street Address:_________________________________________________________________
City:________________________________State:_______ Zip:___________
Telephone:(_____)______________FAX:(_____)___________
Email:__________________________________________Website:____________________________
How long in Present Business:_______________________
Type of Business: (check one) Proprietorship[_]  Partnership[_]  Corporation[_]   Sub-S Corp [_]  LLC[_]
Purchases are: Taxable[_]  Resale[_] (Please provide a resale certificate for City and State)

Please list at least three firms with whom you have open credit: 

 Company Name

 Telephone

Fax

Contact

Account #

1._________________
__________________		 (____)________ (____)________

______________

________________ 

2._________________
__________________ 		 (____)________ (____)________

______________

________________  

3._________________
__________________ 		 (____)________ (____)________

______________

________________  

Bank:________________________________________________ Branch:_________________________________
Address:________________________________________________________________________________________
Phone: (____)_______________
Account Number(s):_________________________________________________________________
Bank Contact:___________________________________________________________
NaturesPix may contact the above firms to verify the status of our (my) accounts. If not paid when due, this account shall bear interest at the maximum rate allowed by law. Should litigation arise with regard to the status of our (my) account, we (I) will be responsible for all collection costs, reasonable attorney's fees and related costs.

Signature of Corporate Officer or Owner:________________________________

Title:____________________ Date:____________

Signer's Printed Name:_______________________________