Please print out this page and fax us once you have completed
all sections of this form.
Or download this order form and fax us your printed
order.
This form must be submitted and approved before you
place your order with us. We cannot bill you unless a new account is
established for your company prior to your order. Processing time for establishing
a new account usually takes 1-2 business days. Minimum order $50 each.
Company Name:
Address:
Accounts Payable
Contact Person:
Phone Number:
Fax Number:
Please list three credit references (banks or companies only):
1. Company Name:
Address:
Phone:
2. Company Name
Address:
Phone:
3. Company Name
Address:
Phone:
Credit Terms:
By signing this agreement, the undersigned understands that they are fully responsible for all charges on their account. Invoices are Net 15 days and if invoices are overdue, a late charge might apply. The
undersigned is also responsible for notifying Penfield Trophies of any changes to information on the
account, such as address change, telephone change ..etc.
Signature:
| 1755 Penfield Road Penfield, NY 14526 |
Phone: 716/586-5484 |
Voicemail: 888/EXCITE2 |