Penfield Trophies New Account Form

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.


Billing Information

Company Name:
Address:

Accounts Payable
Contact Person:
Phone Number:
Fax Number:


Order/Shipping Information

Company Name:
Address:

Order For/Ship To
Contact Person:
Phone Number:
Fax Number:


Credit Information

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:

Printed Name:

Title & Dept.:

Today's Date:

Please feel free to stop in to visit us during our business hours


PENFIELD TROPHIES, INC.
e-mailinfo@penfieldtrophies.com
1755 Penfield Road
Penfield, NY  14526

Phone: 716/586-5484
Fax: 716/586-5272

Voicemail: 888/EXCITE2
or 888/392-4832
Ext.: 716 586 5484