Internet Corporate Credit Application
For Landmark Stationers, Inc. & Landmark Press, Inc.

Name of Person Completing This Form: 
Contact Telephone #:  
COMPANY/ACCOUNT NAME: 
Billing Address: 
City:   State:  Zip: 
Floor:  Suite#:  Email: 
Telephone#:   Fax#: 
Type of Business (describe): 
Type of Account:   Individual     Partnership    Corporation
State Incorporated In:      Date: 
Number of Employees in Office:  In Total:  
Year Company Was Established:  


Step 2 - Information About Authorized Persons
(Fill In All Lines Completely)

Name of Office Supply Buyer For This Account:

Telephone#:   Fax#: Name of Printing Buyer For This Account:

Telephone#:   Fax#: Name of Office Furniture Buyer For This Account:

Telephone#:   Fax#: 
CONFIDENTIALITY STATEMENT:
The following information is required to process this application.  
It is understood that this information will be held in confidence 
and used only by our credit department.



Step 3 - Bank Reference - Fill In All Lines Completely
All Accounts Require A Bank Reference

Bank Name: 
Address:   
Contact:     Account #: 
Telephone:   Date Account Was Opened: 
Company D&B #: 
Step 4 - Business References - Fill In All Lines Completely
All Accounts Require Three Trade References

Company: 
Contact:  Account #:   
Tel. #:       Fax #: 
Address: 
Company: 
Contact:  Account #:   
Tel. #:       Fax #: 
Address: 
Company: 
Contact:  Account #:   
Tel. #:       Fax #: 
Address: 


Step 5 - This Landmark Account Is To Be Used By: 

       Check One:       Any Employee May Purchase
                        Authorized Purchasers Only


Authorized Purchasers: List Names & Contact Phone Numbers
Name:   Tel: 
Name:   Tel: 
Name:   Tel: 


Step 6 - Are Purchase Orders Required?
Please Indicate If Purchase Orders Are Required

Check Yes or No:     Yes    No


Payment Terms are Net 30 Days.  Past Due Accounts May be Closed Until 
Paid and are Subject to a Service Charge of One and One Half Percent per 
Month of the Outstanding Invoices (18% per Annum.)


Step 7 - Authorizing - Responsible Corporate Officer
The Officer Responsible For This Account - Fill In All Lines Completely
Name: 
Address: 
Social Security Number: 
Telephone#:   Fax#: 


Step 8 - Credit Card Account Guarantee - Fill All Lines Completely
All Corporate Charge Accounts Must Be Guaranteed By A Valid Credit Card
 Visa               Master Card
 Discover           American Express    Diners Club

Exact Name:  
Exact Company Name On Card   (if any): 
Card Number:  Expiration Date:  (example: 4/97)

 Click here to submit your application: 
 Click here to clear everything: