Foodirect Credit Application

NEW ACCOUNT CREDIT APPLICATION

** Application must be fully completed or it will not submitted for approval*
DATE

MonthDayYear
Date
Legal Company Name*
DBA
Name of Highest Ranking Officer - President/Owner

First NameLast Name
Name of Highest Ranking Officer - President/Owner*
Phone*
Cell
Mailing Address and Shipping address are the Same
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Different Shipping Address
Shipping Address(if different from mailing address)

Street Address

Street Address 2

CityState

Zip Code
Fax Number
Please enter a valid phone number.
Fax Number
Please enter a valid phone number.
Hidden Email Address*
example@example.com
Email Address*
Type of Organization*

CorporationPartnersipIndividually Owned
Tax ID*
Years in business with current mgmt.*
Will you be using a Personal Guarantee*

YesNo
Name of Controller

First NameLast Name
Accounts Payable Contact

First NameLast Name
Credit Terms Desired*
Pickup or Delivery*

PickupDelivery
Select a 2 hour window for your pickup.
Desired Pickup Time *

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Select a 3 hour window for your delivery.
Desired Delivery Time *

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Foodirect Sales Rep
Sales Rep Email
example@example.com
Internal Use

Trade References

Please make sure you fill out references who you think will give out info...some vendors do not give out information and this drags out the process. Please provide direct contacts and phone numbers to expedite this.
Firm Name #1*
Contact*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Hidden Email
example@example.com
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Firm Name #2*
Contact*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Firm Name #3*
Contact*

First NameLast Name
Phone Number*
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code

Bank Reference

Bank Information – please try your hardest to get a local contact for the bank branch that you speak to in order to expedite getting this information
Bank Name*
Bank Contact*

First NameLast Name
Account Number*
Hidden Email
example@example.com
Email
example@example.com
Phone Number*
Fax Number
Please enter a valid phone number.
Fax Number
Please enter a valid phone number.
Email Address for Confirmation

Confirmation Emailexample@example.com
Entity Name*
Date*

MonthDayYear
Date
Print Name*
Title*
Signature*

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TERMS AND CONDITIONS OF CREDIT
LEGAL ENTITY NAME
Applicant hereby certifies that the information contained herein is true, complete and accurate and is submitted by Applicant to Foodirect, Inc. ("Foodirect") with the understanding that it is to be used to determine the amount, if any, and conditions of, credit to be extended by Foodirect to Applicant. Applicant hereby authorizes (i) the financial institutions listed in this Credit Application to release any necessary information to Foodirect, and (ii) Foodirect to obtain credit information from credit reporting agencies, in order to verify the information contained herein and to evaluate the creditworthiness of Applicant.

In the event that Foodirect agrees to extend credit to Applicant, Applicant agrees to make payment for Products shipped on credit within the time period agreed to by Foodirect, without any deductions or offsets. Foodirect reserves the right to change such time period within which payment is due from time to time, or to terminate the credit arrangement, upon notice to Applicant. Payments for Products made by credit card shall be subject to an administrative fee equal to 3.5% of the amount of the purchase price for the Products charged against Buyer's credit card to cover Foodirect's additional costs to handle the transaction. Payment terms will be strictly enforced on all accounts. Amounts past due are subject to a service charge at the maximum rate of interest permitted by law until paid. Applicant shall pay all of Foodirect's costs and expenses incurred in the collection of any outstanding amounts, including reasonable collection agency or attorneys' fees, court costs and other disbursements.

This Application may be signed and sent vis facsimile, electronic mail, or by other form of electronic means and shall be deemed an original for all purposes. The person signing this Application on behalf of Applicant represents and warrants that he or she has the authority to do SO on behalf of the Applicant.

The person signing this Application on behalf of Applicant personally agrees to notify Foodirect by certified mail or by reputable overnight courier of any change in ownership of the Applicant and further personally guarantees and agrees to be liable for all purchases of Applicant should such person fail to comply with said required notification. In the event that this guaranty is executed by more than one person, the liabilities and obligations of the undersigned persons with respect to such guaranty hereunder shall be joint and several.
LEGAL ENTITY NAME
Name (Officer #1) *
Print Name
Title (Officer #1)*
Print Title
Officer #1*

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Name (Officer #2)
Print Name
Title (Officer #2)
Officer #2

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Personal Guaranty
THIS GUARANTY, made this Date* , by First Name* Last Name* , Residing atStreet Address* ,Street Address Line 2* , City* , State* Zip* ("Guarantor"} to and with Foodirect, Inc. a New York corporation having an address at 355 Food Center Drive, Bronx, New York 10474 ("Foodirect")
Calculation
WITNESSETH
WHEREAS, Foodirect Inc. (“Foodirect”) has agreed to sell to Legal Entity (“Buyer” ), on credit, meat,poultry and other food products (the “Products”); and
WHEREAS, Foodirect Inc. (“Foodirect”) has agreed to sell to Legal Entity* (“Buyer” ), on credit, meat,poultry and other food products (the “Products”); and
WHEREAS, Foodirect has advised Guarantor that it would not sell to Buyer the Products on credit unless Buyer’s obligations under its creditarrangement with Foodirect are guaranteed by Guarantor in the manner provided herein, and Guarantor has agreed to make such guaranty in considerationthereof.

NOW, THEREFORE, in consideration for, and as an inducement to Foodirect to sell to Buyer the Products on credit, and for other good andvaluable consideration, the receipt and sufficiency is hereby acknowledged, Guarantor agrees as follows:
Guarantor hereby absolutely and unconditionally guarantees to Foodirect (i) the full and prompt payment of the purchase price when same becomesdue and payable under Foodirect’s credit arrangement with Buyer for all Products purchased by Buyer from Foodirect on credit, and (ii) any interest,administrative fees, reasonable attorneys’ fees, court costs and other disbursements which Buyer may be obligated to pay Foodirect arising out of the purchaseof Products by Buyer from Foodirect. This Guaranty is a continuing, absolute and unconditional guaranty of payment.
Guarantor hereby consents that, without in any manner affecting the liability of Guarantor under this Guaranty, the credit arrangement may bemodified, extended in whole or in part, the indebtedness, liability, or obligation of Buyer thereunder may be changed, and the duration or the time forperformance or payment may be extended, all without notice to Guarantor, and Guarantor hereby ratifies and confirms any and all of the foregoing and agreesthat the same shall be binding upon Guarantor, and hereby waives any and all defenses, counterclaims or offsets which Guarantor might or could have byreason thereof, it being understood that Guarantor shall, at all times, be and remain liable to Foodirect.
Guarantor hereby waives (i) notice of (and acknowledges due notice of) acceptance of this Guaranty by Foodirect, (ii) demand of payment from anyperson indebted in any manner on or for any of the liabilities or obligations hereby guaranteed, and (iii) presentment for payment, protest thereof and notice ofdishonor.
Should it be necessary to enforce this Guaranty, Guarantor shall be liable for the payment to Foodirect of all costs, including reasonable attorneys’fees, court costs and other disbursements, incurred by Foodirect in connection therewith.
Guarantor acknowledges that this instrument contains the entire agreement between the parties and that there is and can be no other oral or writtenagreement or understanding whereby the provisions of this instrument have been or can be affected, varied, waived or modified in any manner. Theprovisions of this Guaranty shall inure to the benefit or Foodirect, its successor and assigns, and shall bind Guarantor, his or her heirs, personalrepresentatives, successors and assigns.
If there shall be more than one Guarantor, then the obligations of each Guarantor shall be joint and several.
The undersigned agrees to notify Foodirect by certified mail of any change in ownership of the customer and further agrees to be liable for allpurchases should the undersigned fail to comply with said notification. In the event that this guaranty is executed by more than one person, the liabilities andobligations of the undersigned hereunder shall be joint and several of the relative words herein shall be read as if written in plural.
This Guaranty may be executed in counterparts, each of which shall be deemed to be an original, but which together shall constitute one originalAgreement. Signatures sent via facsimile, electronic mail or by other form of electronic means shall be deemed originals for all purposes
Print Name
Print Name*
Title
Title*
Signature

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Signature*

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Date

MonthDayYear
Date
Date*

MonthDayYear
Date

Name of Purchaser*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Mark the box to the right:

Blanket Certificate
Purchaser information – I am engaged in the business of food and principally sell
Food/Beverage

(Contractors may not use this certificate to purchase materials and supplies.)
Part 1 – To be completed by registered New York State sales tax vendors I certify that I am:*

a New York State vendor (including a hotel operator or a dues or admissions recipient), show vendor or entertainment vendor.a New York State temporary vendor.
My valid Certificate of Authority number is:
My valid Certificate of Authority number is Authority Number and expires on Date
I am purchasing:

A. Tangible personal property (other than motor fuel or diesel motor fuel)• for resale in its present form or for resale as a physical component part of tangible personal property;• for use in performing taxable services where the property will become a physical component part of the property upon which the services will be performed, or the property will actually be transferred to the purchaser of the taxable service in conjunction with the performance of the service; orB. A service for resale, including the servicing of tangible personal property held for sale.C. Restaurant-type food, heated food, or heated drink for resale.Type option 4
Part 2 – To be completed by non-New York State purchasers
I certify that I am not registered nor am I required to be registered as a New York State sales tax vendor. I am registered to collect sales tax or value added tax (VAT) in the following state/jurisdiction State/Jurisdiction and have been issued the following registration number Registration Number (If sales tax or VAT registration is not required and a registration number is not issued by your home jurisdiction, indicate the location of your business and write not applicable on the line requesting the registration number.)
I am purchasing:

D. Tangible personal property (other than motor fuel or diesel motor fuel) for resale, and it is being delivered directly by the seller to mycustomer or to an unaffiliated fulfillment services provider in New York State.E. Tangible personal property for resale that will be resold from a business located outside New York State.
Certification: I certify that the above statements are true, complete, and correct, and that no material information has been omitted. I make these statements and issue this exemption certificate with the knowledge that this document provides evidence that state and local sales or use taxes do not apply to a transaction or transactions for which I tendered this document and that willfully issuing this document with the intent to evade any such tax may constitute a felony or other crime under New York State Law, punishable by a substantial fine and a possible jail sentence. I understand that this document is required to be filed with, and delivered to, the vendor as agent for the Tax Department for the purposes of Tax Law section 1838 and is deemed a document required to be filed with the Tax Department for the purpose of prosecution of offenses. I also understand that the Tax Department is authorized to investigate the validity of tax exclusions or exemptions claimed and the accuracy of any information entered on this document.
Title for 120
Type or print name and title of owner, partner, or authorized person of purchaser*
Date*

MonthDayYear
Date
Signature*

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NEW ACCOUNT CREDIT APPLICATION

Trade References

Bank Reference

TERMS AND CONDITIONS OF CREDIT

Personal Guaranty

WITNESSETH