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Fill out this form to the best of your knowledge a for a Broker Dealer printing job and we will get back to you as soon as your request is processed. You also have the option to download, print, fill out and fax back this PDF application to 562-278-0241.

 Business Information
Business Name*:
Contact Name*:
Business Phone*:
Cell Phone:
Fax Phone:
Email*:
Website:
Billing Address*:
Billing City*:
Billing State*:
Billing Zip*:
 Shipping Information
Check box if you wish to use the Billing Contact Information as the Shipping Information.
Shipping Address*:
Shipping City*:
Shipping State*:
Shipping Zip*:
Shipping method preferred*:
Payment method preferred*:
Business Type*:
Nature of Business*:
Business Established*:
  		Employees*:
Locations*:
Tax Exempt*:
Resale Permit*:
I hereby certify that the company named above holds the above referenced valid tax exemption or resale certificate and that such company is engaged in the Business of*: , that sales of tangible personal property will be resold by the company. However, in the event that any such property is used for any other purpose other than retention, demonstration, or display while holding it for sale in the regular course of business, it is understood that the company is required to report and pay sales and/or use tax, measured by the purchase price of such property of other authorized amount. Description of property to be purchased from Wet Ink Printing: Graphic Design Artwork, Printed Materials and Related Goods.
Signature*:

(By entering your name in the box above legally acts as a handwritten signature and you willfully agree to the terms above)		 Initials*:
Title*:
Date Signed*:
 
 Authorized Users of Account(4):
Name 1:
E-mail 1:
Phone 1:
Position 1:
Name 2:
E-mail 2:
Phone 2:
Position 2:
Name 3:
E-mail 3:
Phone 3:
Position 3:
Name 4:
E-mail 4:
Phone 4:
Position 4:
 Credit Application:
           Optional. Please fill out if you wish to store your payment information or open a line of credit with Wet Ink Printing.
Bank Name:
Bank Address:
Bank City:
Bank State:
Bank Zip:
Bank Phone:
Bank Account #:
Bank Account Type:
Credit Card #:
CC Expiration Date:
Security Code:
Credit Card Type:
Name on Credit Card :
Entering your Credit Card information is Secure. Billing address must match credit card listed above. There will be NO charges to your credit card by filling this application out. We are simply going to set up your account for you with your CC# stored for easy, online ordering in the future. We will contact you to verify all information before your account is active.
 Credit References:
Name 1*:
Address 1*:
City 1*:
State 1*:
Zip 1*:
Phone 1*:
Relation 1*:
Name 2:
Address 2:
City 2:
State 2:
Zip 2:
Phone 2:
Relation 2:
Name 3:
Address 3:
City 3:
State 3:
Zip 3:
Phone 3:
Relation 3:
Notes:
Agreement

By signing below, you (as used herein, “you” means the business entity listed above “Business Name” below, and the personal guarantor of this agreement) (1) agree that everything stated on this application is true and complete; (2) authorize Wet Ink Printing to verify any of the information given; (3) agree that Wet Ink Printing will retain this application or the information in this application whether or not it is approved; (4) agree to the terms of Wet Ink Printing’s Terms and Conditions, which is attached hereto, and which may be retained by you; (5) agree that on each invoice which may not be paid when due, interest on any outstanding balance shall accrue from the due date at a rate equal to the lesser of 18% per annum or the highest lawful rate; (6) agree to reimburse Wet Ink Printing for all costs (including reasonable attorney fees) incurred in collecting any amounts due to Wet Ink Printing or executing its interest hereunder; (7) agree that applicant’s signature attests to financial responsibility, ability, and willingness to pay all invoices in accordance with Wet Ink Printing’s Terms and Conditions.

Signature*:
Initials*:
Title*:
Sign-up Date*:
 

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