How to Place an Order with National Azon Equipment

How to Place an Order with National Azon Equipment
for Canon Equipment, Accessories or Inks
Ordering from National Azon Equipment is easy…
First time customers, please fill out the credit application on the second page
of this document. You may email or fax your orders to the locations listed
below. If you have pricing, delivery or confirmation questions please contact
our customer service department.
Qualified companies may place orders on NET 30 terms by Purchase Order.
Order By email: [email protected]
Order by Fax:
Fax us your order 24 hours a day, 7 days a week: 1-614-258-0840
Have Questions?
National Azon Equipment Customer Service personnel are available
Monday – Friday from 8:00 am to 5:00 pm EST
Call toll-free: 1-800-260-0839
1148 Rochester Rd., Troy, MI 48083
800-325-5939 FAX 866-318-7323
[email protected]
CREDIT APPLICATION
Date______________________
Phone (_____)____________________ Fax (_____)_______________________
Company Name___________________________________________________________________________________
Address__________________________________________________________________________________________
City_____________________________________________ State___________________ Zip_____________________
Owner/Office/Partners Full Name(s)___________________________________________________________________
Company is:
Corporation
Partnership
Individual
If corporation, which state incorporated in ______________
Billing Address___________________________________________________ D&B#___________________________
City_____________________________________________ State___________________ Zip_____________________
Years in Business:____________________
Email:_______________________________________________________
Type of Business (products sold/services rendered)_______________________________________________________
TRADE REFERENCES
Business__________________________________________________ Phone (_____)________________________
Address___________________________________________________ Fax (_____)_________________________
Business__________________________________________________ Phone (_____)________________________
Address___________________________________________________ Fax (_____)_________________________
Business__________________________________________________ Phone (_____)________________________
Address___________________________________________________ Fax (_____)_________________________
BANK REFERENCE
Bank Name_______________________________________________ Phone (_____)_________________________
Address___________________________________________________ Fax (_____)__________________________
Contact _______________________________________________ Acct. #_________________________________
Is your Company:
If Non-Taxable:
Taxable
Exempt
Non-Taxable
Resale
Government
Industrial Processing
Out of State
Federal I.D. #:___________________________ Sales Tax Exemption #:______________________
Terms: Net 30 days.
Signature __________________________________
Minimum Order: $500.00 net
Name______________________________
(Please note that customer is responsible for reimbursing National / AZON for all reasonable legal and/or collection
agency fees which it may incur in the event that an account is turned over to collections.)
Rev. 12/2010