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Advertisers Business Information Form
LANCASTER NEWSPAPERS, INC.
8 W. King St. PO Box 1328 Lancaster PA 17608
(717) 291-8611
THE FOLLOWING DATA IS REQUIRED IN ORDER TO ESTABLISH OPEN CREDIT TERMS FOR YOUR COMPANY
Firm Information
Firm Name
Address
City, State, Zip
Telephone
Email Address
SSN # (required)
Names and Titles of Officers or Principals
Name Title
Name of Accounts
Payable Supervisor
Home Office Address if Different than Above
Address
City, State, Zip
Bank Reference
Name
Address
City, State, Zip
Trade References
Name
Address
City, State, Zip
Telephone
Account Number
   
Name
Address
City, State, Zip
Telephone
Account Number
   
Name
Address
City, State, Zip
Telephone
Account Number
   
Name
Address
City, State, Zip
Telephone
Account Number
   
Lancaster Newspapers, Inc. is hereby authorized to obtain a consumer credit report, banking information, or any other information it considers necessary to process this credit application. In consideration of the extension of credit by Lancaster Newspapers, Inc. with its principal office at 8 W. King Street, Lancaster PA 17608 to ("Customer") the undersigned, ("Guarantor") hereby unconditionally guarantees the payment to Lancaster Newspapers, Inc. of all sums and amounts which the customer shall at any time owe to Lancaster Newspapers, Inc. All invoices are due by the 15th of the month following insertion. In addition to the amounts guaranteed hereunder, Customer and Guarantor jointly and severally agree to pay reasonable attorney's fees and other costs and expenses incurred by Lancaster Newspapers, Inc in enforcing the credit application and guaranty.
Signature By checking this box and submitting this form you agree to be bound by these conditions. This is your digital signature.
Date Apr 16, 2014
 

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