prime meats
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www.primemeats.com
CENTER-OF-PLATE CHEF SOLUTIONS
2150 Boggs road duluth, GA Building 500 30096 Phone: (800) 68-MeAtS 1 of 4
confidentia
l
fAx or eMAil APPlicAtion to: 770-414-8966 [email protected]
date of Agreement (Month/day/Year) Market:
trade name d/B/A/:
Billing Address:
city: State: Zip: Phone:
dunS# federAl id #
reseller/resale tax exempt certif cate number:
number of years in business: number of employees:
Payment terms requested:
2150 Boggs road duluth, GA Building 500 30096 Phone: (800) 68-MeAtS 2 of 4
legal Business name:
deliVerY PreferenceS
MondAY tueSdAY WedneSdAY tHurSdAY fridAY SAturdAY
AdditionAl deliVerY locAtionS
2. name: title:
date of Birth: / /
city:residence Address: State: Zip:
drivers license no.:
1. name: title:
date of Birth: / /
city:residence Address: State: Zip:
drivers license no.:
oWner (S) PArtner(S) officer (S) nAMeS And titleS
SPeciAl inStructionS:
AM AM AM AM AM AM
PM PM PM PM PM PM
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:
PAYMent AGreeMent
S.S no.:
S.S no.:
charge Sales tax:
Anticipated weekly purchase volume: $
confidentia
lSerVice 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 reSPonSiBilitY And ABilitY (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 AnYtiMe BASed on PAYMent SiZe, frequencY And cHeckS returned for non Sufficient fundS.
Signature: name:
date: title: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.
2. Bank name: Address:Phone: contact:Account no.:
1. Vendor name:
Street Address:
city: State: Zip: Phone:
Preferred contact:
2. Vendor name:
Street Address: city: State: Zip: Phone:
Preferred contact:
3. Vendor name:
Street Address:
city: State: Zip: Phone:
Preferred contact:
2150 Boggs road duluth, GA Building 500 30096 Phone: (800) 68-MeAtS 3 of 4
Additional comments:
1. Bank name: Address:Phone: contact:Account no.:
BAnk reference (2)
trAde referenceS (3)MiniMuM of 3 requited
www.primemeats.com2150 Boggs road duluth, GA Building 500 30096 Phone: (800) 68-MeAtS 4 of 4
for internal use only
order#: Sales rep: Broker: type lV : tMcd Authorized by: Approved: Approved by: terms: credit limit $ Account #: credit rep: d&B: Bank response: trade 1 : trade 2: trade 3: comments
CENTER-OF-PLATE CHEF SOLUTIONS