North American Camera | New Client Application
14833
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NEW CLIENT APPLICATION

**NOTICE**

IN ORDER TO MAKE SURE YOU HAVE SUBMITTED YOUR FORM CORRECTLY YOU WILL NEED TO BE SURE OF TWO THINGS:

1. YOU WILL BE DIRECTED TO A CONFIRMATION SCREEN THAT STATES WE HAVE RECEIVED YOUR SUBMISSION

2. YOU WILL RECEIVE AN EMAIL WITH A COPY OF YOUR SUBMISSION

IF YOU DON’T SEE BOTH OF THESE ITEMS YOU WILL NEED TO RESUBMIT THE FORM.

Questions: Bob@nacamera.com

GENERAL INFORMATION


OWNERSHIP


BILLING AND SHIPPING ADDRESSES

Skip this section if same as above. If this information is different than what was filled in above, you MUST fill this in completely in order to properly submit your application.


FINANCE


TRADE CREDIT REFERENCES


SHIPPING INFORMATION


CREDIT CARD INFORMATION


We certify that the information above is correct and authorize the above named banks and/or trade references to disclose any information on credit worthiness. We fully understand your credit terms and agree to the proper payment in consideration of extended credit.