CREDIT APPLICATION

To apply for credit terms from IDCardGroup, please take 5 minutes to fill out the form below. Make sure you fill out all the required fields. If you have any questions, or if you are located outside of the United States and Canada, please call 877-868-0012.

Business Contact Information

Credit Line Requested:
Type of Company:
DiscountID Account #:
Company Name:
Doing Business As:
Company Website:
A/P Invoice Contact:
A/P Invoice Phone:
Fax:
A/P Invoice Email:
Dun & Bradstreet #:
Parent Dun & Bradstreet #:
Registered Company Address:
Previous Address:
City:
State/Province:
ZIP/Postal Code:
Stock Symbol:

Banking Information

Bank Name:
Bank Address:
Phone:
Fax:
Bank Contact:
Title:
City:
State/Province:
ZIP/Postal Code:
Type of Account(s) (Savings/Checking/Line of Credit)
Account Number(s)
Type of Account(s) (Savings/Checking/Line of Credit)
Account Number(s)

Agreement

I / We agree to make all payments within our 30 day terms with IDCardGroup.
I hereby release any and all credit or financial information to IDCardGroup or its assignees.

Name:
Title:
Date:

ALL REQUIRED FIELDS (MARKED BY ) SHOULD BE COMPLETE. IF YOU HAVE ANY QUESTIONS, PLEASE CALL 877-868-0012.

Please submit any purchase orders to [email protected] or to your sales representative.

CREDIT APPLICATION

Business Contact Information

Banking Information

Agreement

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