1953 Cooper Foster Park

Amherst, Ohio 44001

Ph: 440-960-7070

Fx: 440-960-7111

Elsewhere in Ohio:

1-800-354-3304

E-Mail: bobels@bobels.com

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Denotes Required Fields

CITY

STATE

MAILING: NAME OF BUSINESS

ADDRESS

ZIP

BILLING ADDRESS COUNTY:

CITY

STATE

SHIPPING (if different) NAME

ADDRESS

ZIP

SHIPPING ADDRESS COUNTY:

PHONE NO.

FAX NO.

E-MAIL ADDRESS

CONTACT NAME

TYPE OF BUSINESS

DATE BUSINESS STARTED

COMPANY PRINCIPALS

NAME

TITLE

NAME

TITLE

REQUIRED IF BUSINESS IS LESS THAN ONE YEAR OLD OR NO LOCAL REFERENCES PROVIDED

OWNERS NAME

OWNERS ADDRESS

OWNERS SOCIAL SECURITY NUMBER

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*

*

*

*

*

*

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*

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TRADE REFERENCES

COMPANY NAME

COMPANY NAME

COMPANY NAME

PHONE NO.

PHONE NO.

PHONE NO.

*

*

*

FAX NO.

FAX NO.

FAX NO.

AUTHORIZATION TO RELEASE INFORMATION AND ACCEPTANCE OF TERMS

 

By clicking Send to Bobels I confirm that I have authority from the above company to complete this application for an open account with Bobel’s Office Plus.  I further authorize the trade references listed on this application to release the information necessary to assist in establishing a line of credit. I understand that other sources of credit information considered necessary may also be used. I agree to Bobel's credit terms which are: Net 30 days E.O.M. Accounts over 30 days accrue a service charge of 1-1/2 percent per month on the unpaid balance.

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Name of Person submitting the application

Title

A Username and Password for Bobels online ordering site will be emailed to you when your account has been setup.