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G:\DEPTS\FORMCTRL\PAPER\23C840. SHOPPING CENTER NAME (IF APPLICABLE)
PARTY SPECIALTY SALES APPLICATION FOR CHANGE OF STATUS
23-C-840 REV. 11.07
FULL STREET ADDRESS
CURRENT
NAM
E
& ADDRESS
COMPLETE ENTIRE FORM FOR:

Change in ownership. Effective date of change
Relocation. Effective date of move
less than 3 miles
more than 3 miles
to a different center
within the same center
NEW NAME & ADDRESS
CROSS STREET
SUITE #
PO BOX
ZIP CODE + 4
STATE
CITY NAME
UPDATED ACCOUNT TERMINOLOGY
STORE NAME (PLEASE PRINT)
STORE NO.
STORE TELEPHONE #
DEPT. #
COUNTY
REVISED STORE NAME AND/OR ADDRESS
B
SHIP TO BILL TO STATEM
ENT
C
SHIP TO (IF OTHER THAN ABOVE)
BILL TO (IF OTHER THAN ABOVE)
MONTHLY STATEMENT (IF OTHER THAN ABOVE)
ACCOUNT NOW ON OUR BOOKS AS:
A
STREET ADDRESS
CITY
STATE
ZIP CODE
HMK
AMB
EFH
NAME
ACCOUNT #
F
RESPONSIBILITY (NAMES ONLY)
CREDIT DEPT.
AUTHORIZATION
RATING
DATE
CREDIT
(IN-HOUSE)
CREDIT REVIEW
SIGNATURE OWNER / CORP OFFICER
DATE
FINANCIAL STATEMENT
On file
Will be mailed
Attached
SALES MANAGER
RETAIL CHAIN COORDINATOR
MANUFACTURERS REPRESENTATIVE
DATE
COMPLETE SECTIONS A, B, & C for:
Change in account name
Correction in account address (same location)
Change in Billing/Shipping/Statement Address
Other
CREDIT
INFORMATION
The undersigned individual who is either a principal of the credit applicant or a sole proprietorship recognizing that his or her individual credit history may be a factor in
the evaluation of the credit history of the applicant, hereby consents to and authorizes the use of a consumer credit report on the undersigned by Hallmark Marketing
Corp. or its affiliates from time to time as may be needed, in the credit evaluation process.
This application shall be deemed a request for the extension of credit upon such terms and conditions as shall from time to time be adopted by
vendor. The applicant represents and warrants that all statements made herein are complete and true and have been reviewed by him/her for
correctness. In the case of ownership change it is specifically understood by applicant that all financial information relating to store including, but
not limited to, financial statements, past sales figures and projected sales figures were supplied by the seller of the store and neither Hallmark
Cards, Incorporated nor Hallmark Marketing Corporation makes any representation or warranty whatsoever with respect to said information.
Change of ownership does not automatically qualify the new owner for Credit Approval. Credit Department retains the right to terminate this
account under new ownership or the right to run credit check on new owner. Must fill out credit portion of application.
Credit references must be attached for change of ownership.
OWNER INFORMATION
D
OWNERSHIP:
NAME OF ALL PARTNERS OR CORPORATE OFFICERS (PLEASE PRINT)
TELEPHONE #
OWNER(S) OR IF INCORPORATED, CORPORATE NAME
STORE FAX NO.
OWNER FAX NO.
CITY
STATE
ZIP + 4
CENTRAL MAILING ADDRESS
APPLICANT'S SOCIAL SECURITY #
FEDERAL TAX ID #
(If established business)
Sole Proprietorship
LLC
Partnership
Corporation
Mr. or
Ms.
Mr. or
Ms.
EMAIL ADDRESS
E
HAVE YOU EVER HAD AN ACCOUNT WITH US:
Yes
IF YES, CHECK IF
Previous Acct.
Existing Acct.
IF YOU HAVE LIST ACCOUNT #.
No
DATE

DISTRICT #

SALES #
APPROVALS (SIGNATURES REQUIRED)
CUSTOMER DATABASE