Customer Application

  • Business Entity Information

  • Bank Information

  • References

    Please list three food vendors that are currently extending you credit.
  • Payment Agreement

    I/we, the undersigned, request Adventure in Food Trading Company to sell and deliver foodstuffs and other merchandise to the responsible party as stated in the application on the reverse side hereof, and further certify that the information provided on the credit application is true and correct. In the event that there is a delinquency in payment, I/we agree that a delinquency charge of 1.5% per month and a ten dollar ($10.00) office fee will be assessed upon the balance due. In the event of a default in payment, I/we will pay to Adventure in Food Trading Company all collection costs and attorney’s fees of 33 1/3% of the unpaid balance. I/we personally and individually guarantee payment in full to Adventure in Food Trading Company, including any and all delinquency charges, collection costs and attorney’s fees incurred as specified above, and waive any presentment, demand, protest or other notice from Adventure in Food Trading Company, regarding this guarantee or payment.
  • Submission

    I verify that all information on this form is accurate to the best of my knowledge. I have the authorization to submit this form on behalf of this entity.