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Rosetta MICR and Check Printing Solutions

 PHONE  (800) 937-4224
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Rosetta Credit Application

Terms of sale are Net 30 Days from the date of invoice. FOB ship point is Tampa, Florida. Freight charges are prepaid and added to all invoices unless specified otherwise on your purchase order.

Remit address is: Rosetta Technologies, P.O. Box 864087, Orlando, FL 32886-4087

Sales tax will be charged as appropriate unless a valid copy of your exemption or resale certificate is provided before the date of shipping.

For any questions please contact Michele Gertz at 1-800-937-4224 ext. 126.

Contact Information:
* First Name First Name is required.
* Last Name Last Name is required.
* Phone Phone number is required.
Fax
* Email Email is required.
* Rosetta Sales Rep: Sales Rep Name is required.
Company Info:
* Company Company is required.
* Address Address is required.
Address 2
* City City is required.
* State State is required.
* Zip Zip Code is required.
* Website Website is required.
* Federal ID # Federal ID is required.
* D&B # D&B # is required.
* Year Est Year Est. is required.
* # Employees Employees is required.
PO #
Purchaser Information:
* Name Name is required.
* Phone Phone is required.
 Fax
* Email Email is required.
Accounts Payable Contact:
* Name Name is required.
* Phone Phone is required.
Fax
* Email Email is required.
Email Tracking:
Email address for Emailing Invoices: *
  Email is required.
Email address for Tracking Information for Receiver: *
  Email is required.
Sales Tax:
Please Provide the Following information:
What county is the company located in? * County is required.
 
What country is the company located in? * Country is required.
 
Is the building of the ship to address located "in" city limits or "out" of city limits? * In city limits Out of city limits
 
Is the ship to address in any special sales tax districts? *
 
If yes to previous question, please state tax details:
 
Sales Tax Exempt?

Exemption certificates must be sent to Michele Gertz
Email: MGertz@RosettaTechnologies.com
Fax: 813-383-0248
Mail: Rosetta Technologies, Inc., 5912 Breckenridge Parkway, Ste. B, Tampa, Florida 33610.

Bank Information:
* Bank Name Bank name is required.
* Phone Phone is required.
* Account # Bank Account # is required.
* Contact Bank Contact Name is required.
Please List Two (2) Trade References:
(Include Company name, your account number and their telephone number or email address, or email your company’s trade references on your own letterhead to MGertz@RosettaTechnologies.com.)

 
Reference # 1
Reference # 2
   

 © 2011 Rosetta Technologies, Corp.   PRIVACY POLICY