Imprints of Quayside Publishing Group Include:

Cool Springs Press Creative Publishing international Fair Winds Press

Motorbooks MVP Books Quarry Books Quiver Rockport Publishers
Voyageur Press Walter Foster Publishing Zenith Press
Quayside Distribution Services
400 First Avenue North, Suite 300
Minneapolis, MN 55401
tel: 612-344-8100 fax: 612-344-8691

Credit Application

Full Legal Name/Business Entity________________________________________________________________

Doing Business As (DBA)______________________________________________________________________
Address:___________________________________________________________________________________

City: ________________________ State: _________ Postal Code: ____________ Country: ________________

A/P Contact: ______________________________

Email Address:__________________________________

Telephone No: __________________________ Fax Number:_________________________________________

Web Site: __________________________________________________________________________________
Company is a: ____CORPORATION ____PARTNERSHIP ____PROPRIETORSHIP ____ LLC ____ PLC
Federal Tax ID #: _____________________________

State of Incorporation: __________________________

Years in Business: ___________________________

Are financial statements available?

_____ Yes

______ No

Annual Sales:________________________

Owner Information: For Partnerships,

Proprietors, LLC and PLC
Full Name (include middle initial): ______________________________

Social Security #: _________________

Home Address: _____________________________________________ City, St, Zip: _____________________

Full Name (include middle initial): ______________________________

Social Security #: _________________

Home Address: _____________________________________________ City, St, Zip: _____________________

BANK and TRADE REFERENCES

Banking Information:

Bank Name: _________________________________________________________________________

Account Number:_____________________________________________________________________
Contact Name_______________________________________________________________________
Address ___________________________________________________________________________
City, St, Postal Code: _________________________________________________________________
Country: ___________________________________________________________________________
Telephone No: __________________________ Fax No: _____________________________________

Trade References
(U.S. Suppliers)

1) Company Name:__________________________________________________________________
Contact: ________________________________________________________________________
Address: ________________________________________________________________________
City,St, Postal Code: ______________________________________________________________
Telephone No: ___________________________ Fax No: _________________________________
2) Company Name:___________________________________________________________________
Contact: _________________________________________________________________________
Address: _________________________________________________________________________
City,St, Postal Code: _______________________________________________________________
Telephone No: ___________________________ Fax No: __________________________________
3) Company Name:___________________________________________________________________
Contact: _________________________________________________________________________
Address: _________________________________________________________________________
City,St, Postal Code: _______________________________________________________________
Telephone No: ___________________________ Fax No: __________________________________

We hereby apply for credit and affirm financial responsibility, ability and willingness to pay invoices in accordance
with published terms. The above information is warranted to be true and complete. We hereby authorize you to
verify and collect information on us, including but not limited to bank references, trade credit references, consumer
and /or commercial credit reports. Terms of Sale, including terms of payment and charges, for each purchase are
agreed to be those specified on the face of each invoice. We agree to pay a monthly finance charge of the
maximum applicable state rate on all past due balances. We agree to pay all costs of collection and litigation on this
account in accordance with the laws of the Creditor's State of Incorporation. We agree that all decisions with
respect to the extension or continuation of credit shall be in the sole discretion of the Creditor.
We have read and understand the above and hereby agreed:
Applicant's Name:_________________________________
Applicant's Title: __________________________________

Date:_________________________ Applicant Signature: __________________________________