NEW CUSTOMER FORM

Thank you for choosing The Profile Image for your Signage needs. We are excited to partner with you on your current Sign project and are honored to have you as a New Customer. As a standard practice we ask that you fill out the information below. This information is for our records only and will not be shared with any other party.

First name

Last name

Company name

Address

Phone

OUR PAYMENT/DEPOSIT TERMS ARE AS FOLLOWS

• 50% Deposit of the entire estimated job to begin design or production.

• Remaining 50% due at time of completion.

• 3% Processing fee for all credit card charges.

We accept Cash, Check, Venmo and Credit Card as payment options.

Chosen Payment Option

If Cash, Check or Venmo options are chosen payment must be delivered to The Profile Image to complete the order.

Credit Card Information Below

INFORMATION IS SECURE AND WILL ONLY BE VISIBLE TO PROFILE IMAGE ADMINISTRATION STAFF

Credit Card Number

CVV Code

Expiration Date

Name & Address on Credit Card

Country/Region

Address

City

Zip / Postal code

Sign and Date Below to Complete Form

By signing this form I verify that all of the above information is correct and that I agree to the payment terms stated. The signature below is a binding agreement to the contract/pricing presented by The Profile Image in which full payment is due at time of completion. The Profile Image retains the right to utilize the above information for any/all invoices exceeding 30 days. All payments are non-refundable unless otherwise noted.

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