Account Executive: *
Unknown or new customer Rene Campos Harold Carter Amy Torgerson Eddins Melinda Fox Gary Motal Gitta Wolma Jesse Villegas

Company Name: *


Business Email: *


Street Address/City/State/Zip: *


Mailing Address/City/State/Zip (if different):


Phone Number: *


Fax number:


Headquarters Location: *


Company Type: *
Corporation Partnership Proprietorship

Year of Incorporation: *


State of Incorporation: *


Check if taxable:

Check if non-taxable:

Tax Exemption Certificate Number:


Name of President, Owner or Partner *


Name of Treasurer: *


Purchase Orders Required: *
Yes No

Accounts Payable Contact Name: *


Accounts Payable Phone Number: *


Will you provide a financial statement if required? *
Yes No

Anticipated Monthly Volume: *


Bank Reference, Address, Account Number *


Bank Reference, Address, Account Number


1st Trade Reference, Address, City, State, Zip and Account Number *


2nd Trade Reference, Address, City, State, Zip and Account Number *


3rd Trade Reference, Address, City, State, Zip and Account Number *


By entering my full legal name in this box, I understand that the information furnished to this website is for the purpose of obtaining commercial credit from Horizon Printing. I am/we are authorized, in my/our capacity to bind my/our firm accordingly; that all accounts or monies due to Horizon Printing shall be due and payable at your place of business, that all past due accounts, notes or judgements shall draw interest at the rate of 18% per annum. I/we further agree to pay all court cost and attorney's fees as required for collection of accounts due. By completing this form, I am indicating my agreement with Horizon Printing's terms and conditions of credit. *


In consideration of credit being extended to the above named firm, I personally guarantee payment of all indebtedness hereunder. I further agree that this guarantee is an absolute, complete and continuing one and no notice of my indebtedness or any extension of credit already or hereafter contracted by, or extended, need be given. The terms may be rearranged, extended and/or renewed without notice to me. I will, within 5 days from date of notice that the account is past due, pay the amount due. In the event that the account is surrendered to an attorney for collection, I agree to pay all attorney's fees, expenses of litigation and court costs as necessary for collection. *