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Commercial Copy Accounts

Apply for a New Account
Paradigm
Company Information:
Company/Entity: Room number/building:
Street address:
City:
State:
Zip:
Office Contact Information:
First name: 
Last name: 
Phone: 
E-mail: 
Accounts Payable:
First name: 
Last name: 
Phone: 
E-mail: 
Purchase order number: 
Tax exempt number: 

Daily pick-up and delivery needed?  yes   no
Web submissions?  yes   no
Access to self-service copiers needed?  yes   no
Persons authorized to use account: 

Years in business: 
Incorporated:  yes   no
 Trade References(2):
Name: 
Address: 
City: 
State: 
Zip: 
Phone: 
Contact Name: 
 
Name: 
Address: 
City: 
State: 
Zip: 
Phone: 
Contact Name: 

Other limitations on account: 

Additional instructions or requests: