Credit Application

BUSINESS INFORMATION

Company Name*

DBa Name

Who have you been working with at Aradius Group?

Rep Full Name

Requested Credit Limit?

Business type

i.e. Insurance, Healthcare, Retail, etc.

Address*

Street Address City State ZIP Code

Is the mailing address different than above?

Yes

No

Mailing address

*if different than above

Street Address City State ZIP Code

Business Phone*

Fax

Accounts Payable Contact

Accounts Payable Email

DUNS Number

Type of ownership:

Sole Proprietorship

Partnership

Corporation

In/under the laws of what state?

Year Business established

Is the company tax exempt?

Yes

No

Please attach your Tax Exemption Certificate here

Accepted file types: pdf, doc, docx, Max. file size: 16 MB.

NAMES OF OFFICERS, PARTNERS, PRINCIPALS

Person 1 Name

First Last

Person 1 Title

Person 1 Home Address

Street Address City State ZIP Code

Person 2 Name

First Last

Person 2 Title

Person 2 Home Address

Street Address City State ZIP Code

BANK REFERENCE

Bank Name

Banking Officer Name

Email*

Phone

Address

Street Address City State ZIP Code

Authorization Signature

Name

First Last

PRINTING REFERENCE

Business Name*

Company

Contact Name*

First Last

Email*

Phone*

Fax

Address

Street Address City State ZIP Code

OTHER TRADE REFERENCE 1:

Business Name*

Company

Contact Name*

First Last

Email*

Phone*

Fax

Address

Street Address City State ZIP Code

OTHER TRADE REFERENCE 2:

Business Name*

Company

Contact Name*

First Last

Email*

Phone*

Fax

Address

Street Address City State ZIP Code

OTHER TRADE REFERENCE 3:

Business Name*

Company

Contact Name*

First Last

Email*

Phone*

Fax

Address

Street Address City State ZIP Code

Statement of Credit Policy

An order on open account from a new customer cannot be completed until the credit application has been received and processed. Our terms of sale are Net 30 Days from date of invoice unless otherwise specified. However, payment of postage is required in advance of any mailing drop date. In the event of default, the customer agrees to pay Aradiusgroup the amount due, including a finance charge of 1 1/2% per month (18% per annum) plus attorney and/or collection fees.

I fully understand and agree to abide by the Credit Policy and terms as stated above and that the information provided is correct to the best of my knowledge.

Attach any additional documentation here

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 16 MB, Max. files: 5.

Signature*

Name*

First Last

Date*

Title*

Email*

Print

Direct Mail

Creative

REACH

ENHANCE

RETAIN

AXIS

ATTRACT

Our Company

Clients & Vendors

BUSINESS INFORMATION

NAMES OF OFFICERS, PARTNERS, PRINCIPALS

BANK REFERENCE

PRINTING REFERENCE

OTHER TRADE REFERENCE 1:

OTHER TRADE REFERENCE 2:

OTHER TRADE REFERENCE 3:

Statement of Credit Policy