Customer Application

Section 1: Accounts Payable

Company Name *

Primary Contact Name *

Phone Number *

Email Address *

Address *

Are you tax exempt? *

Yes

The person authorized to approve purchases on your company's behalf.

Full Name *

Phone Number *

Email Address *

All invoices are due within 15 days (NET 15). Late fees and collection costs may apply.

The client acknowledges and agrees that the following services are billable at $75/hour:

If a product requires design, design time will be billed.
If a video requires editing, editing time will be billed.
If changes are requested to the website, web design time will be billed.
If a submitted file is not print-ready, preparation of a print-ready file will be billed.
If a project requires on-site measurements, travel and measurement time may be billed.
If work is requested outside 20 miles of office, travel time may be billed.

These services will be included in your invoice.

Authorized Representative Name *

Title/Position *

Date

9/22/2026

Signature *

Sign above using your mouse or finger.

I agree to the payment terms (NET 15) and the billable services disclaimer above, and I certify that I am authorized to sign on behalf of my company.