Buckeye Pro Imaging

home prints & more knowledge base become a customer customer connection

New Customer Application

To open a new account with Buckeye Pro Imaging, simply fill out this form.

Studio Information

*studio name:

*first name:

*last name:

*address line 1:

address line 2:

*city:

*state:

*zip code:

county (ohio only)

*studio phone:

- -

*email address:

*re-type email address

Billing Information

*credit card type

*name on credit card

*credit card number

*expiration date

*billing zip

Vendor Information

do you have a vendors license?

no yes

How did you hear about us?

website

speaker referral

magazine

trade show / seminar

referral

lab purchases for last year

Type of Work

family	weddings	sports/events/dances
seniors	commercial	underclass/church directory
children	other:

promo code (if applicable)

Important - Tax Exempt Ohio Businesses - You must download, fill out and fax back to us this Tax Exempt Form so that we may retain a copy for your studio. Please right click the link and choose 'save target as'. Please fill out the form, print it out and fax it back to us.
Download Ohio Tax Exempt Form (Word .doc format - fill in)

i agree to terms and conditions

Please only press the Submit button once.

FREE TEST PRINTS