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Application for Credit and Trade Recognition


Please complete ALL of the following information in order to
expedite the opening of your account.

Anchor Distributors sells at trade discounts to retail stores and approved wholesalers.  We do not sell at trade discounts to churches, study groups, agents, book tables, or non-trade organizations.  The following qualifies as a trade account:

  1. Open at least 6 hours a day for 5 days a week
  2. An entrance door that gives direct access to the store
  3. Stock on display for immediate purchase by customer
  4. Open to the general public

 

  1. Operated with proper business Licenses
  2. A sign on the exterior
  3. Operated in a commercially approved zone

Application Instructions

  • Please complete as much of the information as possible to expedite the opening of your account.
  • Fields marked with an * are required.
  • Date fields should be in the format of mm/dd/yyyy.  For example: June 20, 1996, should be entered as 6/20/1996.
  • You must check both "I AGREE" boxes at the end of the application to indicate that you will adhere to the terms as shown.


 
General Information:

Bill to Store Name *
Address Line 1
*
Address Line 2
 
City
*
State
Zip Country
Phone Number

Fax Number
E-mail
Days and Hours open per Week

Ship to Store Name
Address Line 1
Address Line 2
City  
State
Zip Country
Phone Number
Fax Number

Date Store Established (mm-dd-yyyy) *
Membership CBA ABA
Membership Number

Date Membership Established


Business Information:
Type of Ownership Corporation Partnership LLC Church Owned Sole Proprietorship
Description of Business:

Does business have a prominent sign outside?
   Yes  No  (A picture may be needed in some cases)

Bookstore in Main Business District/Shopping Center   
Book Department of Retail Store Property Own  Rent
         What type of store    Monthly Payment: $
College Store    Square Footage: sq ft
Bookstore in Church Number of Employees
Internet Store   Web Site    Full-Time
Mail Order (Please send a copy of your catalog.)    Part-Time
Showroom at Home
Other:

Sales Tax ID number (Please fax a copy.): 

On which basis do Prepay with Check/Credit Card COD
you prefer to purchase  Open Account  $

Has the firm or any of its principals ever been bankrupt?  Yes  No
   If yes, please explain

For Established Businesses:

Sales Last Year  $ Sales 2 Years Ago  $ Cash on Hand  $

For New Businesses:

Amount of Cash available to be devoted to your business  $   Projected Sales  $


Proprietor, Partners, or Corporate Officers (Please provide your home address):

Name   Street  
Title     City  
State   Zip   Country
Social Security #   Home Phone  
Name   Street  
Title   City  
 State   Zip   Country