Credit Application

Credit Application Form

Please fill out the Credit Application form and fax it to Ipex Infotech 510-668-8440 or email the completed application image to

Credit Card Authorization

Credit Card Authorization Form is required when you like your transaction to be charged by credit card (IPEX only accept the credit cards issued by USA ). Please email or fax dated , signed completed the form to or 510-668-8440 and please indicate whether you like to retain your authorization for future orders or just for one time transaction by marking on the box listed on the bottom of the form

You will need Adobe Acrobat Reader to open this application, if you do not have Adobe Acrobat Reader please click here to download.