MusicCatalogInternational

Schiffer Publishing 4880 Lower Valley Rd. Atglen, PA 19310 610.593.1777 [email protected] Revised June 2021 Credit Application Bill-to Information Ship-to Information (if different from billing) Legal Name: Legal Name: DBA: DBA: Name of Parent company if applicable: Name of Parent company if applicable: Address: Address: City: City: State/Country: Zip Code: State/Country: Zip Code: Phone: Fax: Accounts Payable Contact Person: Web Address: Phone: Fax: Vat Number: Email: Are you exempt from paying sales tax? YES NO If yes, please attach a copy of your sales tax exemption form. Would you like your invoices mailed? YES NO *If mailed, please note invoices will be mailed to the billing address attention to the Accounts Payable Contact listed. If no, you must provide a valid email address or fax number. In Business Since: Credit Amount Requested: Type of Account Sole Proprietor Partnership Ltd. Partnership Corporation Institution Bookstore Gift/Specialty Online Retailer Mail Order/Catalog Wholesaler/Distributor Other (please specify): Please visit https://schifferbooks.com/policies/refund-policy to see our terms and conditions. Do you wish to buy on returnable or non-returnable terms? Please check one: RETURNABLE NON-RETURNABLE Would you like us to backorder titles that are currently out of stock? YES NO Would you like us to backorder titles that are Not Yet Published (NYP)? YES NO Please indicate how long you want backorders to remain open? 3 mo. 6 mo. Other _______ Please indicate how long you want orders with Not Yet Published (NYP) titles to remain open? 3 mo. 6 mo. Other ________ TRADE REFERENCES: Please provide a minimum of three business references. Publishing references are preferred. Do not include utility companies or companies in which you are on prepaid terms. Company Name: Address: City: State: Zip Code: Contact Name: Telephone: Account #: Fax: