Thank you for choosing Apricot & Honey Gourmet. Please complete the following application to open an account. To prevent delays in establishing your account, please complete all areas of the Customer Information, Terms of Sales Agreement. Order Number CUSTOMER INFORMATION Legal Business Name * Trade Name (DBA) * Federal Tax ID Number (EIN) * Date business established * Business Information Type of Ownership (indicate one) * Partnership Sole Owner Corporation Limited Liability Company Non-Profit Provide the following information for all Individual Owners, General Partners or Corporate Officers: Name and Title * Home Address * City * State * Zip * Home Phone No * %Ownership * Same billing address ? Yes No Shipping Address Street Address * City * State * Zip * Phone * Email * Contact Name * Position * Alt Phone Additional Information Type of Business * Restaurant Hotel Bar Retail Fast Casual Catering Bakery Wholesaler Purchase order required * Yes No Bank References Name of bank * Account Number * Branch * Address * Phone Number * Validation I hereby certify the information listed above is correct. Invoices will be paid within 15 days of the date of invoice. The person signing the application certifies that (s)he is authorized to represent the company and gives his/her personal guarantee that invoices will be paid under the terms herby described. TERMS OF SALE AGREEMENT Required (please read the following and sign below) The undersigned (“Purchaser”) agrees that all purchases made by the Purchaser from Apricot & Honey Gourmet (“Seller”) are subject to the following terms and conditions: 1. All amounts due for goods, services purchased from the seller will be paid within 15 days of the date of invoice. However, Seller may in its sole discretion, at any time, require payment in cash before servicing, and/or require anticipated payment of any or all amounts due, or to become due. Purchaser acknowledges that amount due to Seller are not payable in installments, but are payable in full as stated herein. 2. If any amounts due to Seller are not paid in accordance with such payment terms, a service charge shall be added to the sums due, which shall be equal the amount obtained by multiplying the delinquent balance by the lesser of (a) one-and-a-half percent (1.5%) per month or (b) the maximum rate permitted to be charged under the applicable state’s law. 3. Purchaser shall pay Seller a flat rate of $ 25.00 as a service charge for all checks returned by Purchaser’s bank; provided, however, that such service charge shall not be due and payable in the event such payment would result in the violation of usury laws of applicable jurisdiction. 4. In the event that the Purchaser’s account is turned over to an attorney or other agency for collection or suit is brought on same, or the same is collected through any judicial proceeding whatsoever, Purchaser shall pay all reasonable agency fees, attorney fees, and court costs incurred by Seller. 5. Purchaser shall notify Seller by certified mail at Apricot & Honey Gourmet, of any change in ownership of Purchaser. The undersigned swears and declares under penalty that Purchaser is a solvent business. terms acceptance * I have read the terms and conditions stated above and agree to all of these terms and conditions. “Purchaser” (Corporate Legal Name) * Authorized signature * Date * Printed name * Title * Further certify * I further certify that if any property so purchased tax free is used or consumed by the firm as to make it subject to a Sale or Use Tax we will pay the tax due to the proper taxing authority when state/city law so provides or inform the seller for added tax billing. This certificate shall be part of each order which we may hereafter give to you, unless otherwise specified, and shall be valid until cancelled by us in writing or revoked by the city or state. under penalty of perjury, I swear or affirm that the information on this form is true and correct as to every material matter. Authorized signature (Owner, Partner, Corporate Officer) * Title * Date *
