legal Business name:
trade name d/B/A/:
Billing Address:
city: State: Zip: Phone: dunS# federAl id #
date of Agreement (Month/day/Year) Market:
Anticipated weekly purchase volume: $
charge Sales tax:
reseller/resale tax exempt cer tifcate number:
number of years in business: number of employees:
Payment terms requested:
deliVerY PreferenceS
deliVerY locAtionS
Address:
city: State: Zip: Phone:
Address: city: State: Zip: Phone:
Address: city: State: Zip: Phone:
Address: city: State: Zip: Phone: ( ) corPorAtion ( ) PArtnerSHiP ( ) ProPrietorSHiP ( ) llc ( ) otHer Yes no coMPAnY inforMAtion c o d days to Pay: other:
SPeciAl inStructionS:
2. name: title: date of Bir th: / / city: residence Address: State: Zip: drivers license no.: 1 name: title: date of Bir th: / / city: residence Address: State: Zip: drivers license no.: oWner (S) PArtner(S) officer (S) nAMeS And titleS
PAYMent AGreeMent S.S no.: S.S no.:
1. Bank name: Address:
Phone: contact: Account no.:
2 Bank name:
no :
trAde referenceS (3) MiniMuM of 3 requited
1. Vendor name: Street Address: city: State: Zip:
2 Vendor name:
3 Vendor name:
Address:
Additional comments:
State: Zip:
SerVice cHArGe of 2% Per MontH Will Be ASSeSSed on All PASt due AccountS. tHiS APPlicAtion rePreSentS tHAt tHe ABoVe inforMAtion iS correct to tHe BeSt of tHe APPlicAnt’S knoWledGe And AutHoriZeS PriMe MeAtS to VerifY inforMAtion BY tHe uSe of credit rePortinG AGencieS And/or BAnk And trAde referenceS liSted ABoVe. APPlicAntS SiGnAture AtteStS finAnciAl reSPonSiBilit Y And ABilit Y (And WillinGneSS) to PAY All inVoiceS in AccordAnce WitH PriMe MeAtS terMS And conditionS. PriMe MeAtS StAndArd terMS Are net 7 dAYS froM inVoice dAte unleSS otHerWiSe StAted. terMS MAY Be AdjuSted At AnY tiMe BASed on PAYMent SiZe, frequencY And cHeckS returned for non Sufficient fundS
in consideration for norsan Meats inc., i agree to pay all invoices according to your terms and to pay reasonable attorney fees if it becomes necessary to enforce collection. the undersigned Principal owner(s) hereby personally, individually guarantee prompt payment of all invoices due or to become due owing to norsan Meats inc
