Please allow 5 business
days to process your Corporate Account Application.
COMPANY INFORMATION
Company:
Address:
Suite/Floor: Zip:
Telephone: Fax: _
Type of Bus.
Contact Person:
# of Years in Business: # of Employees:
D&B #:
Federal Tax I.D. or S.S. #:
Email:
BILLS TO THE ATTENTION OF:
Principal’s Name:
Telephone:
BANK REFERENCE
Bank: _
Account #:
Contact Person:
Telephone:
TRADE REFERENCE
Company:
Phone: Fax:
BILLING INFORMATION (Checkone):
□ Visa □
MasterCard □ AMEX
All monthly
charges will automatically be billed to credit card
10 days after statement
date.
Account Number:
Exp. Date:
Name on card:
Billing
address:
Names of Authorized Users for the Corporate
Account:
Principal’s Signature:
Please Send A
Copy Of Your Credit Card (Front & Back) With Application.
ALL INVOICES ARE MAILED TO THE
APPLICANT, UNLESS YOU INDICATE
OTHERWISE.
General
Terms and Conditions and Personal Guarantee
1.You will be
assigned a Corporate Charge Account Number. Please give that number to your
Telephone Sales Representative each time you place an order.
2.A standard
gratuity of 7% is added to all Corporate Charge Account orders for catering
events over 15 people, unless otherwise stated.
3.You will be
billed once monthly. Payment is required within 10 days of receipt of invoice.
Applicant authorizes BLINKS DELI to charge the credit card supplied herein for
all balances not paid in full within 10 days of invoice. Notices of late
payment will be sent prior to any charges.
4.BLINKS DELI
reserves the right to cancel your account if the above conditions are not met.
5.BLINKS DELI
Corporate Account is not valid for retail store purchase, unless arrangements
have been made.
I
represent that the above information is true and is given to induce to extend
credit to the applicant. My company and I authorize to make such credit
investigation as sees fit, including contacting the above trade references and
banks and obtaining credit reports. My company and I authorize all trade
references, banks and credit reporting agencies to disclose to any and all
information concerning the financial and credit history of my company and
myself. I understand a full payment of our monthly statement is due upon
receipt, and that over due balances will be subject to finance charges. The
undersigned personally guarantees full and prompt payment for all charges.
I
HAVE READ THE TERMS AND CONDITIONS STATED BELOW AND AGREE TO ALL OF THOSE TERMS
AND CONDITIONS.
