REPRESENTATIVE: Jerry Larson
REP. FAX NUMBER: 1-800-775-9022
1463 Commerce Way Idaho Falls, ID 83401
Phone (800) 775-9021 Fax (800) 775-9022
PRESS-A-PRINT GET-AWAY APPLICATION
This profile must be completed in its entirety to be considered. PLEASE PRINT
Name 1 Day Ph 7. Check System Preference.
Name 2 Day Ph Professional Program Master Program Master Platinum Upgrade
8. Do you have the funds necessary to begin this business?
City State Zip Yes No
Phone Home Source of funds
Fax Savings Investments
Visa/MC Borrowed Other
If no, would you be interested in a lease purchase?
1. Current Employment Status Yes No
9. Are you in a position now to secure this business with
2. Have you ever owned a business? Yes No A. Deposit of 20%, balance to Yes No
B. Payment in full. Yes No
10. List two personal references that know you well.
3. Why do you feel you would succeed at the PAP Programs?
4. What characteristics do you possess that will contribute to your
I understand this is not a credit application and that Press-A-Print
is not asking for detailed financial information. I also understand that this
questionnaire is not an “Offer to Purchase” and therefore, I am under no
I realize that Press-A-Print needs to get an understanding of me and I
submit this questionnaire with that understanding.
5. How do you plan to operate this business? The act of submitting this questionnaire signifies my intent and
interest in becoming involved in the Press-A-Print opportunity.
By Yourself As a Family Hiring Employees I/we authorize Press-a-Print International or its agent to investigate
Explain my/our credit history.
Name 1: Social Security No.
Name 2: Social Security No.
6. Do you have a computer? Yes No
Do you have a fax machine? Yes No
Do you have a laser printer? Yes No Signature Date
Do you have a scanner? Yes No