Yuletide Office Supply

	Open an Account
Simply fill out the information below to start your ordering process. In addition to an email being sent to you with your log in information, your account representative will contact you about any special needs and what your account number will be.
	[all fields are required]
Legal Name: *
E-mail: *
Billing Address: *
Shipping Address: *
Telephone Number: *
Fax Number:
Federal ID #: *
Type of Business:
Description of Business:
Years:
Taxable?	Yes No
Purchase Order Required?	Yes No
Estimated Monthly Purchases:
Accounts Payable Contact:
Contact Phone Number:
How Did you Hear About Us? *	Radio Trucks Magazine/Brochure Ad Other
If Other, Where?
Partners or Corporate Officers
Name and Title:
SSN:
Name and Title:
SSN:
Name and Title:
SSN:
Bank and Trade References
Bank Name:
Account #:
Bank Contact:
Bank Address:
Contact Phone Number:
Trade References: (Must provide three) i.e. companies you purchase merchandise from (a bank is not a trade reference).
Contact #1:
Name:
Address:
Contact:
Phone Number:
Contact #2:
Name:
Address:
Contact:
Phone Number:
Contact #2:
Name:
Address:
Contact:
Phone Number:
Authorization
By checking the box below, the applicant agrees to the terms and conditions of the credit application. The applicant further acknowledges and agrees that he/she has read the credit application, that everything stated in this application is true, complete and accurate and any false information may result in cancellation of any account. The applicant further authorizes Yuletide Office Supply to investigate applicant's credit history.
Authorize Form *
Date: *
Name: *
Title: *