Credit Application

A pre-qualification for terms with Adams Publishing Group.
Address(Required)

If Division / Subsidiary

Address

Any Previously Registered Business Names / DBA

(Within the Last Three Years)

Business Details

Enter the number of years the company has been established.
Please select the state where your business is incorporated.
Please select the state where you are requesting credit terms.

Principals

Address
Address

Authorization and Guarantee

I/We individually, and as an officer or officers of the firm, hereby authorize Adams Publishing Group to publish advertising or printing for the above and I/we also guarantee payment in accordance with the credit terms. The above information is given for the purpose of obtaining credit and is warranted to be true.
(Required)

Finance Charges

A service charge of 1.5 percent per month on the unpaid balance will be added on bills unpaid by the last day of the month in which the bill is due. This is a finance charge at the annual percentage rate of 18% per year.