Credit Application

When submitting your Credit Application online, do NOT send account numbers.
We will call you within 1 business day for that information.
Submit Form button at bottom - To print out and FAX a credit application, click here.
Company Name
Billing Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone
FAX
E-mail
Website   Year Established
Type of Business   Tax ID#
Years at Present Location   Leased   Owned
Type of Bookstore   Store size Sq. Feet
Revenue Size   Store's main ministry?
Main Customer Class   Does store have a denominational stance?
Majority of Customers   Average age group of customers

Bank References

Bank Name

Account#  We will call you for this number.

Address

    

City

 State Zip 

Contact

 Phone #  

Trade References: Please give names and account numbers of 3 US book industry trade references with which you are currently doing business.

1. Company Name

Account#  We will call you for this number.

Phone #

 FAX # 

2. Company Name

Account#  We will call you for this number.

Phone #

 FAX # 

3. Company Name

Account#  We will call you for this number.

Phone #

 FAX #

Owner

Book Buyer

Accounts Payable

 Do you accept back orders?  Yes No
Credit Card Information (Optional)    

Card Type

 Account#  We will call you for this number.

I authorize Bridge-Logos to use this information to establish a credit rating for me.

Name (please print)

Title 

Authorized Signature

  We will obtain this later Date

COMMENTS