LNP Media Group Logo
PO Box 1328, Lancaster, Pennsylvania, 17608-1328
A Steinman Communications, Inc. Company

Business Information Form

General Information
Business Contact for Payment
Company Mailing Address (if different from above)
Names and Titles of Principals
Company Tax ID #
The undersigned ("Customer") certifies the above information to be true and accurate and authorizes LNP Media Group, Inc., 8 West King Street, Lancaster, PA 17608 to obtain the necessary Credit and/or Financial information required for the extension of Credit Terms. The above information will be used solely for the purpose of establishing credit with LNP Media Group, Inc. and will not be shared. Customer acknowledges Payment Terms as stated on the LNP Media Invoices, Statements, and Billing Documents. Customer agrees to pay reasonable Attorney's Fees and/or Legal Costs incurred in the enforcement of any claims due to non-payment of account.
Please Type your Name and Title Below for use as an electronic signature