Sunshine Floral Inc.
CREDIT APPLICATION - PLEASE PRINT AND FAX TO: (805) 684-4695
Full Legal Name of Company: __________________________________________
Street Address: ______________________________P.O Box:_________________
City: __________________________State: _____________Zip Code: __________
Telephone No.: ( )__________________________________________________
Fax No.: ( )_______________________________________________________
E-Mail Address: _____________________________________________________
Resale No. (for California Customers): __________________________________
Federal Tax ID No.: __________________________________________________
Type of Business: _ Retail
_ Wholesale Date of Establishment: ________________
PROPRIETOR, PARTNER OR OFFICER GUARANTEE:
In consideration of any credit extended I / We / Either of us will individually and / or jointly guarantee full and prompt payment of all indebtedness by: _______________,
Incurred for merchandise furnished by Sunshine Floral, Inc., plus services charges and collection costs, including attorney fees if applicable. This guarantee shall be continuing and the full agreement of Guarantor(s) is not subject to any oral conditions, as signed under:
Signature: ____________________________________________
Printed Name: _________________________________________
Title: _______________________________________________
Home Address: ________________________________________
City: __________________State: ____________________Zip Code: ______________
Home Telephone No.: ________________________________
Social Security No.: __________________________________
Driver’s License No.: _________________________________
BANK REFERENCES:
Bank Name: ______________________________________
Branch Address: ___________________________________
City: ____________________State: __________________Zip Code: _______________
Checking Account No.:____________________ Credit Account No: ________________
FLORAL INDUSRTY TRADE REFERENCES:
1.Name: _________________________________Phone No.: _______________
Address: _______________________________ Fax No.: _________________
2.Name: ________________________________ Phone No.: ________________
Address: _______________________________Fax No.: __________________
3.Name: _________________________________Phone No.: ________________
Address: _______________________________Fax No.: __________________
4.Name: _________________________________Phone No.: ________________
Address: ________________________________Fax No.: _________________
5.Name: _________________________________Phone No.: ________________
Address: _______________________________Fax No.: __________________
TERMS OF SALE : After the processing of your credit application, our manager will contact your company to provide the credit terms and limits of your account. All new accounts are C.O.D. until notified otherwise. Upon approved credit, your terms will be Net 10 days after end of the month (Net 10th E.O.M.) unless otherwise notified. If you exceed the credit limit established, your company will be notified and payment agreement will need to be made before business will resume. In the instance that your company’s account becomes delinquent, it will be the responsibility of your company and its individual owners to pay all costs associated with collection procedures and all attorney fees when applicable.
CUSTUMER SATISFACTION POLICY: All claims pertaining to freight delays and mishandled product during shipping must be filed with the carrier. All product is bought F.O.B. site of Sunshine Floral. All claims with regard to product need to be made within 24 hours after receipt of product. Requests need to be followed up and complete written form if an initial request was done verbally. Request will be refused if this procedure is omitted.
I understand and accept the above-mentioned terms and I have provided true information to the best of my knowledge. I authorize Sunshine Floral, Inc. to verify any and all references we have given that may be required to determine credit capabilities and to request relevant information from credit reporting agencies.
Company: __________________________________Dated: ___________________
Signature of Authorized Officer / Owner: __________________________________
Printed name of signer and title: __________________________________________
RE: _____________________________________________
_____________________________________________
_____________________________________________
BANK INFORMATION
BANK NAME: _________________________________________________
CHECKING ACCOUNT NUMBER: _______________________________
BANK ADDRESS: ______________________________________________
_____________________________________________
TELEPHONE NUMBER: ________________________________________
CONTACT: ___________________________________________________
This serves to authorize the above — referenced bank to provide the below requested
Information on the account of:
_________________________________________________________________
to Sunshine Floral, Inc.
Dated: ________________ ______________________________
Signature of authorized bank signer
By: ___________________________
Title: _________________________
FOR BANK USE
Date Opened:________________ Any N.S.F. Checks: ____Yes____NO
Average Balance:________________ Number of Checks Returned: ____________
Low:________________ Is Account Secured: YES NO
Medium:________________
High:________________ By: ________________________________
Overdrafts: ________________ Dated: ______________________________
PLEASE RUSH
ORDER PENDING!!
CREDIT REFERENCE
ATTENTION CREDIT MANAGER
COMPANY: ____________________________________________________________
The below named party has furnished your name as a credit reference. We would appreciate your help in giving us the benefit
of your experience with them by completing this questionnaire. Any information you provide will be held in the strictest of confidence and we will be happy to reciprocate at any time. Please return by fax to (805) 684-4695 at your earliest convenience.
REGARDING: __________________________________________________________
ADDRESS: _____________________________________________________________
_____________________________________________________________
SOLD FROM: _______________ TO: __________________
CURRENT TERMS: _________________________________
DATE OF LAST SALE: ______________________________
HIGHEST RECENT CREDIT: _________________________
TOTAL OWED NOW ON OPEN ACCOUNT: ____________
PAST DUE ON OPEN AMOUNT: ______________________
DAYS PAST DUE: __________________________________
ANY N.S.F. CHECKS?? _______________ EXCESSIVE CREDITS?? ____________
PAYMENT PATTERN: _______________ Discount Given
_______________ Prompt when Due
_______________Slow Days
_______________ Cash or C.O.D. only
Wholesale Operation______________ Retail Florist ______________
COMMENTS: ___________________________________________________________
Signature: __________________________ Title: _______________________________