CUSTOMER CREDIT APPLICATION

Similar documents
Sole Proprietor Partnership Corporation State of Incorporation: Date Business Commenced Federal ID# CA State Resale # Yes No. Bank Address Phone Fax

RIP-IT SPORTS TERMS FOR NEW ACCOUNTS. All first orders are credit card pre-pay only. Card will be charged upon ship.

General Information. Applicant s Current Full Legal Business Name: Tax ID #:

Security Agreement Assignment of Hedging Account (the Agreement ) Version

FILED: NEW YORK COUNTY CLERK 12/30/ :39 AM INDEX NO /2016 NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 12/30/2016

SPONSORSHIP APPLICATION Pointe Hilton Squaw Peak Resort - Phoenix, Arizona February 17 19, 2017

NOTE- All drafts must be pre-approved by Vectren before final execution. Please contact Vectren Credit Risk for assignment of document number.

Guarantor additionally represents and warrants to Obligee as

INDEPENDENT CONTRACTOR AGREEMENT

TEXTS OF AMENDMENTS TO FAMILY LAW RULES

LICENSE AGREEMENT WHEREAS WHEREAS, NOW, THEREFORE, Grant of License. Ownership of Marks.

Angel Cellular Cellular Phones & Accessories

AGREEMENT WHEREAS WHEREAS, WHEREAS, NOW, THEREFORE, Grant of License.

SCHEDULE 2 to Collateral Annex (with Optional Changes)

Financial Information

Allegiant Power, LLC 2180 Immokalee Road Suite 205 Naples, FL (901) Fax (901)

Credit Application and Agreement (Please Type or Print)

PERMANENT POST-CONSTRUCTION STORMWATER CONTROLS MAINTENANCE AGREEMENT RECITALS

AMERICAN WORK

CONTACT INFORMATION SECTION 1: SPONSORSHIP OPPORTUNITIES. Company Name: Primary Contact Person: Price Quantity Total

Shingle Recycling Service Agreement

Non-Recourse Dealer Agreement

FINANCIAL PLANNING AGREEMENT

BRU FUEL AGREEMENT RECITALS

Guaranty Agreement. 2. Guaranty Absolute. The liability of Guarantor under this Guaranty shall be absolute and unconditional irrespective of:

Drawbridge Medical LLC

NEW DEALER ACCOUNT APPLICATION

CITY OF RICHMOND PERFORMANCE BOND

LEASE GUARANTOR APPLICATION AND AUTHORIZATION. Property/Property Address: Abby Creek Apartments, 5820 Fair Oaks Blvd, Carmichael, CA 95608

INTELLECTUAL PROPERTY ASSIGNMENT AGREEMENT W I T N E S S E T H:

September 16, 2016 CCTA Contract No. 427 Caltrans Contract No. 04-4H1604 Balfour Interchange Project

Account Application. Firm Name: Date: # of Years in Business:

CONTINUING GUARANTY. Guarantor agrees as follows:

KNEEBINDING AUTHORIZED DEALER AGREEMENT

SALES REPRESENTATION AGREEMENT *** SPECIMEN ONLY *** THIS AGREEMENT made and entered into by and among. , a. Specimen

Sponsorship Application

Green Thumb Volunteer Application.

Into Product Conversion Convention upon MISO Operation of a Day 2 Energy Market

Credit Policy (Northern States Power Company, a Minnesota Corporation)

CREDIT APPLICATION NAME SSN # SPOUSES NAME SSN# TRADE NAME IF DIFFERENT STREET ADDRESS MAILING ADDRESS CITY STATE ZIP HOME PHONE BUSINESS PHONE

SUBCONTRACT AGREEMENT

APPLICATION FOR LICENSE FOR RETAIL SALE OF LIQUOR UNDER THE VILLAGE OF RIVERSIDE ALCOHOLIC LIQUOR CONTROL ORDINANCE

EQUIPMENT LEASE ORIGINATION AGREEMENT

AMERICAN WORK

Black Ops Logistics, LLC

GLACIAL LAKES CORN PROCESSORS UNIFORM MARKETING AND DELIVERY AGREEMENT

OSWEGO COUNTY PURCHASING DEPARTMENT. Purchasing Director Purchasing Clerk Purchasing Clerk

AMENDMENT TO AMENDED AND RESTATED DEVELOPMENT AGREEMENT DATED AS OF JULY 21, 2015 BETWEEN THE CITY OF WICHITA, KANSAS, AND RIVER VISTA, L.L.C.

STOCKHOLDER VOTING AGREEMENT

2016 PREMIER ACADEMY COACH INDEPENDENT CONTRACTOR AGREEMENT

AUTHORIZATION FOR TREATMENT Please fax to Scan/ to

3/12/14. TERMS AND CONDITIONS TO SUPPLY and SALES AGREEMENTS

Guarantee of Payment Agreement for Individual Accounts

BRU FUEL AGREEMENT RECITALS

Realogy Holdings Corp. Realogy Group LLC

Photovoltaic Inverter Network Connection Agreement

PARTICIPATING ADDENDUM NASPO ValuePoint Body Armor Products Administered by the State of Colorado (hereinafter Lead State )

Cost Per Lead Program Agreement

CITY OF ROHNERT PARK COUNCIL AGENDA ITEM TRANSMITTAL REPORT. Meeting Date: May 10, Public Works and Community Services

NOTICE EVENT DETAILS

SECURITY AGREEMENT AND ASSIGNMENT OF ACCOUNT

HARRISBURG SCHOOL DISTRICT CONSULTING CONTRACT AGREEMENT

APPLICATION PACKAGES WHICH DO NOT INCLUDE THE (5) ITEMS ABOVE WILL BE RETURNED TO SENDER.

CUSTOM IMPRINTING AGREEMENT

PLEDGE AND SECURITY AGREEMENT. THIS PLEDGE AND SECURITY AGREEMENT (this "Agreement") is executed to be

Non-Discretionary IA Services Client Services Agreement

PRELIMINARY STATEMENT

Soy Works Candle Company, Inc RESELLER AGREEMENT

National Percussion Ensemble Honors Recorded Music Competition

REQUEST FOR PROPOSAL - TRI-STATE LOTTO COMMISSION

RETS DATA ACCESS AGREEMENT

APPLICATION AND AGREEMENT

Fresh Friday Sale Every Friday at 10:45am

LEASE ADMINISTRATION SERVICES AGREEMENT

RSR LIMITED TERMS AND CONDITIONS OF SUPPLY (GOODS AND SERVICES)

Winchester Country Trails Clubhouse Rental Policy & Agreement Effective October 23, 2008

QUOTE DOCUMENTS FOR CALLANAN GYM FLOOR REPLACEMENT center Street. Des Moines, Iowa QUOTE # Q7088

AGREEMENT FOR SERVICE AGREEMENT FOR SERVICE

SETTLEMENT AGREEMENT

Please visit our website to pay the application fee, complete the online application and download all release forms:

EXHIBIT F-1 (I) FORM OF DESIGN-BUILD LETTER OF CREDIT VIRGINIA DEPARTMENT OF TRANSPORTATION 1401 EAST BROAD STREET RICHMOND, VA ATTN: [ ]

PLEDGE AND SECURITY AGREEMENT ([Partnership/Membership Interests]) THIS PLEDGE AND SECURITY AGREEMENT (this "Agreement") is executed to be

COUNTY OF OSWEGO PURCHASING DEPARTMENT

Colonial Surety Company 123 Tice Blvd Suite 250 Woodcliff Lake, NJ (800) Fax (877) LOST INSTRUMENT APPLICATION

DEALER AGREEMENT. Dealer-agreement Page 1 of 9 Initial:

Duties of the Clerk of the Celina City Council Effective January 01, 2013 (As known through Ordinance O, passed.)

1099 INDEPENDENT CONTRACTOR AUTHORIZATION PROCEDURES

VIRGINIA HIGHLANDS SMALL BUSINESS INCUBATOR, INC. CO-WORKING AGREEMENT

LIQUID ASSET STORAGE a division of Sokolin LLC 445 Sills Rd., Unit K, Yaphank, NY PHONE: (631) FAX: (631)

WarrantyLink MASTER SERVICES AGREEMENT RECITALS

Form of Foreign Guaranty # v.1 GUARANTY

(01/31/13) Principal Name /PIA No. PAYMENT AND INDEMNITY AGREEMENT No.

Customer Account Application. Sysco Corporate Enclave Parkway Houston, TX 77077

INDEPENDENT CONTRACTOR AGREEMENT

PARENT AGREEMENT FOR USE OF THIRD-PARTY TRANSPORTATION SERVICE. Rules and Guidelines

Invitation for Informal Bid (IFIB) Summary. 3. Exhibit A Proposal / Bid Forms.. 7. Agreement. 12. Payment Bond 14. Performance Bond 17

PROFESSIONAL SERVICES AGREEMENT

Sales Agent Agreement

HOST FAMILY REGISTRATION FORM

VISA Inc. VISA 3-D Secure Authentication Services Testing Agreement

Transcription:

CUSTOMER NAME: DBA: ADDRESS: CITY, STATE, ZIP: PHONE #: FAX #: KITCHEN EMAIL: TYPE OF BUSINESS: CORPORATION PARTNERSHIP SOLE PROPRIETORSHIP NOT FOR PROFIT FEDERAL ID NUMBER: STATE RESELLERS NUMBER: DATE THE BUSINESS WAS ESTABLISHED UNDER CURRENT OWNER: OWNER EMAIL: ACCOUNTS PAYABLE ACCOUNTS PAYABLE PHONE #: ACCOUNTS PAYABLE EMAIL: OWNERS & OFFICERS NAME AND TITLE: HOME ADDRESS: HOME PHONE: MOBILE PHONE: BANK REFERENCE BANK NAME: ACCOUNT OFFICER: PHONE #: CUSTOMER CREDIT APPLICATION TRADE REFERENCES SYSCO FOODS AND LIQUOR DISTRIBUTORS ARE NOT VALID REFERENCES PAGE 1 OF 5

TERMS AND CONDITIONS 1.) STANDING ORDERS (A) All standing orders will be delivered at times and dates agreed upon unless otherwise modified by customer request. (B) Any such modification to a standing order must specify the date or dates to which the changes will be applied, including a delivery time. (C) Standing orders shall remain in effect until Red Hen Bread receives a 14-day prior written notice of cancellation. 2.) MINIMUM ORDERS (A) (B) (C) Red Hen Requires a $10.00 minimum order and will provide free delivery to any establishment located between Western Avenue and the lake (east to west), and between Madison Avenue and Addison Avenue (north and south). Anywhere outside these parameters will be handled on a case-to-case basis. Service fees may be assessed for deliveries that are additional to established AM and PM deliveries. There is no minimum for pick-up orders. 3.) ORDERS/CANCELLATIONS (A) Phone Orders: Call 312-433-0436 (a) Ext. 221 during regular business hours (6am-5pm) (B) Fax Orders: Dial 312-491-0436 Please indicate: (a) Your name (b) Company name (c) Products and quantities (d) Expected delivery date and time (C) Order Cut-Off Times: (a) Orders for AM delivery and Pastries must be placed by 12:00 noon for the following day's delivery. (b) Orders for PM delivery must be placed by 12:00 midnight for following day's delivery. (c) Cancellations must be placed by 12:00 noon of the day prior to scheduled delivery or customer will be billed. (D) Drop off Deliveries: Customers requesting a delivery outside of the facility or inside without a signature shall be responsible for the product at the point of delivery. No credits will be given in this situation. Customers are strongly advised to obtain a container or other receptacle, which our drivers can lock. (E) Orders and special requests placed after cut-off times can be subject to a service charge to cover processing and production of additional items. 4.) ASSIGNMENT AND BINDING EFFECT: Neither party shall assign this Agreement nor any part of it, nor delegate any obligation imposed by this agreement without the prior written consent of the other. All terms and provisions of this Agreement shall be binding upon and inure to the benefit of and be enforceable by the successors and assigns of the Parties. 5.) JURISDICTION/CHOICE OF LAW: This agreement shall be governed by and interpreted and enforced in accordance with the laws of the State of Illinois. Should any disputes arise from the terms and/or performance of this Agreement, it is mutually agreed the Illinois law shall be controlling and all parties shall submit to the jurisdiction of the state courts in the City of Chicago, County of Cook. 6.) FUEL SURCHARGE: Due to fluctuations in the price of fuel, Red Hen may add fuel Surcharge to any delivery order. 7.) PAYMENT AND CREDIT TERMS (A) Without prior credit approval, payment is due upon delivery. Please allow 5 business days to process credit request and establish terms. (B) After approval payment is due promptly. Failure to pay promptly will result in the elimination of credit terms and all invoices will be due upon receipt of the product. (C) Statements will be sent out twice a month and should be reviewed for skipped or missing invoices. (D) In the absence of a personal guarantee, any invoice over 30 days past due will result in a termination of services. (E) Any invoice over 30 days past due will be assessed a 1.5% finance charge. Finance charges are assessed on the last day of every month. 8.) PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE In witness whereof, the parties have duly executed this Agreement on the date first written. Company Name BY: ITS: Red Hen Bread BY: ITS: PAGE 2 OF 5

PERSONAL GUARANTEE In order to induce RED HEN CORPORATION, L.P., ("RHB") to enter into the Customer Agreement, to which this guarantee is attached, with (Customer), and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the undersigned hereby the prompt, full and complete performance of any and all of the duties and obligations of Customer to RHB and the payment of any and all indebtedness, damages, costs and expenses due RHB by Customer. This guarantee shall remain in full force and effect until the termination of the Customer Agreement provided, however, that the undersigned shall not be released from his/her/their obligations hereunder so long as any claim of RHB against Customer which arises out of, or relates to, directly or indirectly, said Customer Agreement, is not settled or discharged in full. The undersigned hereby expressly waives (a) notice of acceptance of this guarantee by RHB, (b) notice of non-performance of Customer of any of its duties or obligations, (c) notice of any modification of the Customer Agreement or any extension of time granted to the Customer, and (d) all defenses, offsets and counterclaims which the undersigned may at any time have to claim of RHB against Customer. RHB may, in its discretion, proceed against the undersigned to collect any obligation covered by this guarantee without first proceeding against Customer. Upon 5 days notice by RHB, the undersigned shall pay any and all indebtedness, damages, costs and expenses due RHB by Customer and shall perform any and all duties and obligations of Customer to RHB. This guarantee shall be construed pursuant to the laws of the State of Illinois, shall inure to the benefit of RHB, its successors and assigns, and shall be binding on the undersigned, his/her/their heirs and assigns. All actions or proceedings arising with respect to any controversy arising out of this guarantee shall be litigated only in courts whose sites is within the State of Illinois and the undersigned hereby submits to the jurisdiction of the courts of the State of Illinois and the jurisdiction of the United States District Court of the Northern District of Illinois, Eastern Division. The undersigned shall accept court service of process by registered or certified mail addressed to the address provided below or to such other address as the undersigned has supplied to RHB in writing and such service shall constitute personal service of such process. The undersigned waives any right the undersigned may have to transfer or change the venue of any litigation brought against the undersigned by RHB. Guarantor-Signature Title Social Security Number Print Name Cell Phone # Home Address Home Phone # PAGE 3 OF 5

DISTRIBUTION INFORMATION NAME OF COMPANY: ADDRESS OF DELIVERY: NAME OF MANAGER: OTHER TIME OF DELIVERY PLEASE ALLOW A WINDOW MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY STORE/RESTAURANT HOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY SPECIFIC DELIVERY INSTRUCTIONS: (I.E. IN THE BACK ALLEY IN CONTAINER. or IN BACK ALLEY THROUGH SIDE DOOR, KITCHEN DOWNSTAIRS. Etc. DO WE HAVE KEYS?) PAGE 4 OF 5

CONFIDENTIALITY AGREEMENT The nature of services and pricing provided by Red Hen Bread to requires information to be handled in a private and confidential manner. Information about our pricing or clients will only be released to agencies outside Red Hen Bread and our written consent. Following legal or regulatory guidelines provide the only exceptions to this policy. All reports, memoranda, notes or other documents will remain part of both Red Hen Bread and confidential records. The pricing of each individual product will only be released to people authorized by the nature of their duties to receive such information and only with the consent of management at Red Hen Bread. The undersigned customer agrees to abide by this confidentiality agreement. Customer Red Hen Bread Representative Date PAGE 5 OF 5