Art in Color

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Art in Color Inc.
1760 NW 94^th Ave
Miami, FL 33172
1-800-416-0661

Credit Application

Company:

Date:

Address:

City:

State:

Zip:

Telephone:

FAX:

Name of Parent Company(If Subsidiary):

Resale Tax Number(If Applicable):

Sole Ownership

Partnership

Corporation

Owners/Parteners/Officers:

Inc. State Of:

Contact name:

Title:

Kind of Business:

Year Stablished:

Year Incorporated:

Trade References - Please give two references of those you buy from on open account:

Name:
Address:
City:
State:	Zip:
Telephone:
FAX:

Name:
Address:
City:
State:	Zip:
Telephone:
FAX:

Bank:	Contact:
Address:
City:	State: Zip:
Telephone:	Account Number:

Have you done business under any other names during the past ten years?

Yes

The signature below is that of an individual authorized to commit this company:

Name:
Title:
Signature:
Date:

Please key in all information, print out and sign this form. You must include a copy of your resale certificate with this form and fax both copies to (786) 513.0669.
If you have any questions regarding to this form, or you cannot print this form, please call 1.800.416.0661.
Please note:
· All information must be completed and signed by customer
· We must have an approved application on file for 30 days term or check purchases.