Frozen Pizza Dough

Customer Application

SALES APPLICATION
Sales Rep:				Date:
Terms Seeking:	COD		7 Days		Other ________		(All orders are COD until terms are approved)
(All accounts are consided COD if nothing checked)
*Account Name:*
Address:
Mailing Address:
City, State, Zip:
Telephone #:
Fax #:
Own or Rent Place of Business:				Landlord:
Tax Exempt #				*if tax exempt, include copy of certificate.
Year Established:				Type of Business:
Email				Website:
PRINCIPALS
Name				Name
Social Security #				Social Security #
Home Address				Home Address
City, State, Zip				City, State, Zip
Title				Title
Home Telephone #				Home Telephone #
Cell Telephone #				Cell Telephone #
Own or Rent Home				Own or Rent Home
Email				Email
Bank Information
Name		Account #				Telephone #
1.
2.
*** SIGNATURE'S) REQUIRED ON SECOND PAGE ***
Order Contact (Include cell and home #'s):
Receiving Person (Include cell and home #'s):
Open Time:
Close Time:
Time Window Requested (4 hour window required):
Special Delivery Requirement (Ex. Back door, front door, alley):
Other Delivery Request (Ex. Large dough on left, small dough on top...):
Closest Customer:

The undersigned ("Purchaser") agrees that all purchases made by the "Purchaser" from Colony Foods, Inc. (Seller) are

subject to the following terms and conditions:

All amounts due seller are payable in accordance with the payment terms granted by

Seller's Credit Department. If any amount due Seller is not paid in accordance with such

payment terms, a penalty charge may be added to the sum due.

Purchaser may pay Seller a service fee for all checks returned by Purchaser's bank.

Purchaser shall notify Seller by certified mail of any change in ownership.

In the event the account is turned over to an attorney or other collection agency for collection,

or suit is brought on same, or the same is collected via any judicial proceedings whatsoever,

Purchaser agrees to pay all reasonable fees, collection fees, interest at the rate of 1 1/2 % per

month on all unpaid invoice amounts, and court costs incurred by seller.

Date

Authorized Signature

Witness

Personal Guaranty

In consideration of the Seller's agreement to provide supplies to my business on such credit or cash terms as you

may extend from time to time, I (we) do hereby guarantee individually and jointly, personally, and unconditionally the

payment by said business of any amount due to Colony Foods from said business (including dishonored checks).

In the event the account is turned over to an attorney or other collection agency for collection, or suit is brought on same,

or the same is collected via any judicial proceedings whatsoever, purchases agrees to pay all reasonable fees, attorney fees,

collection fees, interest at the rate of 1 1/2 % per month on all unpaid invoice amounts, and court costs incurred by seller.

By signing this Sales Application the Purchaser agrees that Colony Foods, Inc. may obtain a credit report on the.

personal guarantor and any other signatories to this agreement.

Date

Authorized Signature

Witness

Authorized Signature