2115 Felix Huertas Rd., Sta.

Cruz, Manila
Email: info@photopaper.com.ph or graphix@photopaper.com.ph
Cellphone No. 0998-257-2724 / 0906-084-3370

APPLICATION FORM

NOTE: Check the appropriate

Account No. Date:
information preceded by a box.

Region: NCR Visayas Classification: Dealer Purpose: C.I Change Name Others: (Specify)

Luzon Mindanao Retail Re-C.I Change Address ____________

Personal Information
Name:
Birthdate:
Current Home Add:
Home Landline No.

Current Business Name:

Former Business Name (If any):
Business Address:
Authorized Business Address:
Warehouse Address:
Store Size/Dimensions:
Annual Income (Optional):
 2115 Felix Huertas Rd., Sta. Cruz, Manila
Email: info@photopaper.com.ph or graphix@photopaper.com.ph
Cellphone No. 0998-257-2724 / 0906-084-3370

Business Information

Type of Printing Business: Type of Printing Solution:

Souvenir Tarpauline Silkscreen Large Format
Corporate Advertising Agency Direct to Garment (DTG) Heat Transfer/Heat Press
Sportswear Others (Specify): Embroidery Others (Specify):

Business Tel Nos: Fax/Mobile Nos: Email:

1. ___________________________________ 1. ___________________________________ 1. ___________________________________
2. ___________________________________ 2. ___________________________________ 2. ___________________________________

Type of Organization: Single Proprietorship Partnership Number of Employess:

Government Corporation Regular:
Others (Specify): Contractual:
Business Tin #: Year Business Started: Authorized Purchaser:

Name of Proprietor/President: Name of President:

________________________________________________________________ ___________________________________________
Surname First Name Middle Name Surname First Name Middle Name

Name of Subsidiary Co. (If Any):
1. _________________________________
2. _________________________________
Major Supplier/s:
Remarks:
1. _________________________________
2. _________________________________
3. _________________________________
Authorized Signatories (Checking Acct.): Specimen Signature:
1. _________________________________ 1. _________________________________
2. _________________________________ 2. _________________________________
Termsof Payment: List of Branches:
Appended
1. by (In the system):
_________________________________ Validated by:
1. _________________________________
2. _________________________________ 2. _________________________________
3. _________________________________ 3. _________________________________