Account Request Form


COMPANY INFO:
Company Name:
Main Phone:
Main Fax (opt.):
Website (opt.):

FINANCIAL INFO:
Annual Budget: $ for printing and promotional items
Tax Exempt? Yes     No
Referral: how did you hear about us?

BILLING ADDRESS:
Address: street address or PO Box
Suite/Bldg/#:
City:
ST:
ZIP Code:

SHIPPING ADDRESS:
(NOTE: This is the default shipping address if no other address provided with order)
Shipping Address same as Billing Address
Address: cannot be Residential or PO Box
Suite/Bldg/#:
City:
ST:
ZIP Code:

BILLING CONTACT:
(NOTE: All order confirmations and invoices are sent by e-mail and will come from do-not-reply@downdigusa.com)
Billing Contact:
Billing Phone:
Billing Email:

SHIPPING CONTACT:
Shipping Contact same as Billing Contact
Shipping Contact:
Shipping Phone:
Shipping Email:

CORRESPONDENCE CONTACT:
Correspondence Contact same as Billing Contact
Correspondence Contact same as Shipping Contact
Correspondence Contact:
Correspondence Phone:
Correspondence Email:
ADDITIONAL INFORMATION (PO Required, etc.):
Notes:
We are also interested in (check all that apply):
Contract Pricing
Self Publishing w/wo Distribution
Always In Stock inventory for multiple locations (AIS)
Pick and Pack inventory for client or franchise sales (PNP)
Volume Discount purchasing that ships in partials (VOLDIS)
Print-On-Demand/Just-In-Time Services (JIT)
Submitter Email:
By submitting this request to open an account you are acknowledging that you have read the account terms and conditions on the previous page entirely, that you have also reviewed the "About Us" page and feel your company is a good fit for what we can provide, and that you are authorized to accept these terms and conditions on behalf of the company requesting this account, including the way late payments and collections are handled.
     See Terms Page Again
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