Comark
Pre-Configured Solutions
Industrial Displays
Industrial PCs
Node PCs
2U and 4U Rackmounts
4U Xeon Rackmounts
Healthcare and Life Sciences
Mobile - PDA's and Tablets
Accessories
Support
Login
Order
Credit Application
Corporate Info
Legal Business Name
Date Established
Phone Number
Trade Name (if different from Legal Business Name / dba)
Fax Number
Address
City
State
ZipCode
Comark Salesrep
Andrew M. Killion
Brennon W. Williams
Daniel W. Fix
Ira Leavitt
Jason Coffin
Kevin T. Baldwin
Michael Morris
Paul Sheedy
Robert Hanson
Sandra J. Schott
Wyatt Allemann
Accounts Payable Contact
Contact Name
Contact Phone
Contact Email
Digital Invoice Delivery Email (Required)
Corporate Profile
Tax ID / Fed ID
D&B Number
Stock Symbol
Annual Sales Volume
Bank / Trade Reference Data
Must have account number under same dba and/or legal name
Bank Name
Checking Account #
Savings Account #
Loan Account #
Contact Name
Contact Phone
Contact Email
Trade References
Please provide at least 3 trade references
Name
Terms
Address
Phone
Credit Request
Account Terms Requested
Requested Credit Limit
Tax-Exempt Organizations
Optional
Certify Information / Financial Release
I certify that the above information is true and correct. Furthermore, I authorize financial institutions to release necessary information to Comark in order to verify the information contained herein.