Photoplot Store - Establish a New Account

Name:
Title/Position:
(Area/Country Code) Phone Number:
Company Name:
Billing Address (Company or Credit Card)
       Attn:
       Address #1:
       Address #2:
       City, State, Zip, Country:
'Ship to' Address (if different from your billing address)
       Attn:
       Phone Number (if different from above):
       Address #1:
       Address #2:
       City, State, Zip, Country:
Please check here if the 'Ship to' address is a residence: __
Your E-mail address:
Accounts Payable (or card holder's) E-mail address ⁽¹⁾:
Payment Method (mark one of the following choices please):
       __   Issue Purchase Order & pay by Check (USA only)
      __   PrePay by Check (USA only)
      __   E-Check (USA only, please)
      __   VISA Card
      __   Master Card (M/C)
      __   American Express Card (AMEX)
      __   Diner's Club Card
      __   Discover Card
      __   PayPal - VISA, M/C, AMEX, Discover
      __   International Draft
      __   International Wire Transfer
Shipping Account Number ⁽²⁾: ____________________ Carrier Name: _______________
For customers outside the USA, please provide your Tax ID number: _______________
Please visit our Authorize a Payment page to provide your check or credit card information.
For customers that have facilities in either Colorado and California - are your jobs taxable?
        ___ Yes, or ___No
        (If not, then please provide a resale certificate with your order.)
Comments:

Earn a 5% discount right now!

By submitting this information, I hereby stipulate that I wish to open a new account with the International Phototool Company, the Photoplot Store's parent company, and that I agree with and will subscribe to the policies, terms and conditions as described on the web page herein as of the submission date.

Note: All new accounts will be opened with and billed through the International Phototool Company, which is the Photoplot Store's parent organization.

⁽¹⁾In order to do our part to reduce the use of paper, and in keeping with our electronic commerce business model, we will issue our invoices/receipts to you in Adobe Acrobat PDF format via e-mail, unless you specify otherwise. By providing this e-mail address, you indicate to us that this method of billing is acceptable to your accounts payable department.

(2) Please fill in this line if you wish to have the shipping costs billed directly to your account. All International customers must fill in this line so that we can bill the shipping, freight insurance, and import taxes and fees to your account.

Thank You for choosing to establish a New Account with us!

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