Parker Brand Creative Services

New Client Form

Please fill out the form below with as much information as you can provide. If you are unable to use the form below, there is a downloadable version at the bottom of this page. Simply fill out the .pdf and email to info@parkerbrandcreative.com, or fax to 225-208-1707.

Type of Business *

Proprietorship

Partnership

Corporation

Name of Business *

Billing Address *

City *

State *

Zip Code *

Shipping Address (if different from above)

Phone *

Fax

Years in Business (reply "new business" if less than 1 year) *

Are you sales tax exempt? *

Yes

No

If yes, please provide sales tax exempt number

List Owners (first name, last name, and date of birth) *

Name and address of at least 3 businesses (new businesses provide as many as possible) from whom you are presently purchasing on a charge basis. Credit card company and loan company not acceptable. Please give us references that you buy from on a regular basis. *

The information that I have provided in this new client form is current and accurate. *

Note: * Starred fields are required.

Parker Brand Creative Services - New Client Form
Please fill out this form to the best of your ability, then email or fax to our office.
NEW Client Form.pdf
Adobe Acrobat Document [148.3 KB]
Download

Parker Brand Creative Services is an advertising and graphic design group located in Southwest Louisiana. We specialize in branding, logo design, website design and advertising communications. Our team members have been serving the businesses of Sulphur and Lake Charles for over 15 years.