CBM Business Machines Credit App

HOME | CONTACT US | PRIVACY

	1-814-536-5356
	sales@gocbm.com


	E-INFO Payment / Credit App Order Status Request Returns Consumable Orders Service Call Request Service Info


	Furniture


	STATE / LOCAL Designations Minority Business Small Disadvantaged Enterprise Zone COSTARS Copiers Procurement "IT" Hardware PEPPM Copiers, Fax, Micrographics FEDERAL Designations Small Disadvantaged Veteran Owned Disabled Veteran Owned 8(a) Certified Contract Vehicles CONTACT US


	History Careers Contact Us FAQ

Payment Options / Credit Application

Credit Application

"Required Information in Red"

COMPANY TYPE

CORPORATION
NON-PROFIT
PARTNERSHIP
PROPRIETORSHIP

INFORMATION ON OFFICER, PARTNER, OR INDIVIDUAL

NAME: TITLE:

E-Mail Address:

BILLING INFORMATION
COMPANY:
ADDRESS:
PHONE:
TAX EXEMPT #:
P.O. REQUIRED:	YES NO

SHIPPING INFORMATION
COMPANY:
ADDRESS:
PHONE:

YEARS/MONTHS IN BUSINESS:

CREDIT APPLIED FOR $:

BANK REFERENCES (At lease one)
BANK NAME
ACCOUNT #(Optional)
PHONE
CONTACT NAME


BANK NAME:
ACCOUNT #(Optional)
PHONE:
CONTACT NAME:

TRADE REFERENCES (At lease one)

COMPANY NAME:
ADDRESS:
PHONE:

COMPANY NAME:
ADDRESS:
PHONE:

I hereby authorize CBM-Business Machines or any credit bureau or other agency employed by CBM-Business Machines to investigate the references herein listed or statement or other data obtained from me or from any other person pertaining to my credit and financial responsibility. PAYMENT TERMS: Net upon receipt of invoice. Unpaid balance at 1.5% per month finance charge after 15 days (annual percentage rate of 18%). If you do not pay the balance when due or if you should breach any terms of any agreement, CBM may pursue any legal action deemed necessary or appropriate with respect to your Account. You agree to pay all costs of collection,including attorney's fee and the balance then due and owing as determined by the governing state laws. If, in our opinion, the financial condition of purchaser at any time does not justify continuance of shipment on the terms of payment specified, we may require a full or partial payment in advance.

IF YOU AGREE TO THE TERMS ABOVE TYPE YOUR NAME, TITLE AND TYPE YES.

NAME:
TITLE:
I AGREE (TYPE YES):

	Call us at any time for help: 1-800-452-COPY regional toll free number long distance charges apply.

	Copyright 2008 CBM Business Machines. All rights reserved. 647 Franklin Street, Johnstown, PA 15901