BUSINESS INFORMATION / REFERENCE FORM
We appreciate your interest in the unsurpassable quality of products offered by Swiss Chalet Fine Foods.
Please fill out the form below and press submit. Shortly a Swiss Chalet Fine Foods representative will contact you regarding the status of your application.
If you have any questions regarding the approval process please call (305) 592-0008 or email us at order@scff.com. We'll be happy to assist you.
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* Required Fields |
Bill To*:
(Legal Business Name) |
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| (D/B/A) Trade Name*: |
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| Address*: |
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| City*: |
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| State*: |
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| Zip*: |
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| Telephone*: |
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| Fax*: |
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| E-mail:*: |
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| Ship To*: |
Check here if same as Bill To |
| Address: |
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| City: |
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| State: |
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| Zip: |
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Contact Person
Purchasing*: |
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Contact Person
Accounts Payable*: |
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| Duns #* |
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Business Type*:
(Choose One) |
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| How long in business?* |
Years |
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| Purchase Order Required?* |
Yes No |
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Type of Organization*:
(Choose One) |
Partnership/Other |
| Corporation |
| Individual |
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| Social Security #* |
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| Sales Tax ID #* |
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| In the state of*: |
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Taxable |
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Non-Taxable
(Must complete TAX CERTIFICATE for our records) |
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| Branch / Division / Subsidiary of*: |
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BUSINESS INFORMATION / REFERENCE FORM PART 2
Names and addresses of owners, partners or corporate officers as follows:
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| Name: |
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| Address: |
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| Name: |
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| Title: |
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| Address: |
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| Name: |
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| Title: |
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| Address: |
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| COD Account Only: |
Yes No |
BUSINESS INFORMATION / REFERENCE FORM PART 3
BUSINESS REFERENCES / PRINCIPAL SUPPLIERS
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| Name: |
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| Contact: |
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| Address: |
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| Phone: |
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| E-mail: |
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| Name: |
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| Contact: |
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| Address: |
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| Name: |
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| Contact: |
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| Bank Name: |
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| Bank Contact: |
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| Address: |
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| City: |
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| Account #: |
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ELECTRONIC SIGNATURE
Name and Title of person submitting application and Date:
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| Name:* |
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| Title:* |
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Date:*
(MM/DD/YYYY) |
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| You have now successfully completed the Business Information/Reference Form. Please click on the "Submit" button to complete the application process. |
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In consideration of, and in order to induce you to establish an open account line of credit on the foregoing application, the undersigned promises to pay for purchases in accordance with your terms of sale as stated on the invoice. It is understood that no further credit will be extended if these terms are not kept. If purchases are not paid and vendor engages an attorney to enforce the collection, we/I agree to pay all expenses and costs of litigation including court cost and a reasonable attorney fee. All past due accounts are subject to finance charges of 1 1/2% per month, 18% per annum. Applicant authorizes the above company to obtain credit and financial information about applicant at any time and from any source. |
