Credit Application

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Under Construction!

 

Please contact Designers Only for a credit application to be faxed or emailed.  

#913-649-3778 or customerservice@designersonlykc.com

 

We apologize for any inconvenience!

 

 

 

 

 

 

 

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Date:
Name:
Company Name:
Address:
City:
State:
Zip Code:
Social Security Number:
Driver's License Number:
Expiration Date:
Date of Birth:
Home Phone:
Work Phone:
Cell Phone:
Pager:
Fax Number:
E-mail:

Business Classification:
Date Business Started:

Professional Experience
Firm:
Address:
Dates of Service:

Education
College:
Years Attended:
Degree:

Professional Organizations:

Bank Reference (Business Account):

 

Years Established:
Bank Address:
Account Number:

State Sales Tax Number:
Expires:
 

A copy of your Tax I.D. certificate must be provided to activate this account. Please fax it to 913-648-8216 or e-mail it to customerservice@designersonlykc.com

The following Sales Tax Exempt forms must be submitted for the account to become active.

Click here for the Kansas Form
Click here for the Multi-Jurisdiction Form

Any questions, contact us at
customerservcie@designersonlykc.com