Three Peas In A Pod Publishing

Please fill out vendor set up form and e-mail to threepeaspub@yahoo.com

Thank you

Three Peas In A Pod Publishing, LLC

10447 E. Spring Creek Road Parker, Colorado 80138 720-851-6006

Account Set Up Date_________ Terms requested_______________

Name of Business _____________________________________dba_________________________________

Business Location: Street____________________________________________________________________

City____________________State___________________Zip________________Phone__________________

Billing Address (if different from above)

Street___________________________________________________________________________________

City____________________State___________________Zip________________Phone__________________

Type of Business__________________________________________________________________________

Is this a new business? Yes______ No ______ Years in business_____________________

Name of Corporate Officers/Owners/Partners

Name__________________________________________________________Title______________________

Sales Tax Number: City___________________________ State__________________________________

For Tax Exempt please provide a copy of your certificate.

Purchase Order Requirements

P.O. Required Yes_______________ No_________________

Authorized Purchasing Agent(s): Please print or type.

Name________________________________________ Title_______________________

Agreement

We herein make application to Three Peas In A Pod, LLC for credit and/or to update and reconfirm our existing account and balance

with Three Peas In A Pod, LLC . If credit is granted we promise to pay all bills when rendered. The liability for payment of amounts

invoiced to the above account shall continue regardless of transfer of any interest in, or managerial responsibility for the customer’s business

until Three Peas In A Pod, LLC is notified in writing of such transfer and a written request made to terminate delivery of goods.

Three Peas In A Pod, LLC reserves the right to suspend or terminate services/sales to the above account(s) in the event of suit or action

or in the event Three Peas In A Pod, LLC determines that the account lacks credit worthiness. 1 1/2 % interest per month interest charge

is applied on all past due accounts.

Print Name_________________________ Signature____________________________ Date_________

Owner/Corporate Officer/Co-Partners

Making Childrens books that are fun!