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PETAL FRESH APPLICATION - PETAL FRESH

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					                                                                                                                 1411 Northwest 89th Court
                                                                                                                 Miami, Florida 33172
                                                                                                                 Phone: (305) 436-5356
                                                                                                                 Toll Free: 1-877-463-5356
                                                                                                                 Fax: (305) 436-9293
                                                                                                                 or (305) 436-8538


                                                                        CREDIT APPLICATION
                                                                                                         Date:

                                                                        GENERAL INFORMATION
Name of Business:
                                                                                                     d/b/a
Billing Address:
                                                                                  City               State               Zip Code
Shipping Address:
                                                                                  City               State               Zip Code

Phone:          (       )                             Fax: (        )                                E-mail:


Federal Tax Number :                                                    Estimated Annual Sales:                  $

Sales Tax Number :                                                      Estimated Monthly Purchases: $

Year Established :                                                      Reseller Certificate No.: _______________________________

Name of Authorized Officers                                             Title
1)
2)
3)
4)

                                                                         TRADE REFERENCES
Name of Company                                     Address                                          Telephone Number & Fax Number


1)                                                                                                   (               )                       (           )


2)                                                                                                   (               )                       (           )


3)                                                                                                   (               )                       (           )


4)                                                                                                   (               )                       (           )

                                                               BANK INFORMATION FOR REFERENCE
Financial Institution Name:

Address:
                                                             City               State             Zip Code

Name Of Bank Officer :                                                                                           ACCOUNT #

Bank Telephone:                 (         )
ALL SALES ARE F.O.B. MIAMI. THE BUYER TAKES TITLE OF OWNERSHIP WHEN THE PRODUCT IS DELIVERED TO THE DESIGNATED CARRIER.
TERMS AND CONDITIONS:
APPLICANT'S SIGNATURE ATTESTS FINANCIAL RESPONSIBILITY, AND WILLINGNESS TO PAY INVOICES IN ACCORDANCE WITH THE FOLLOWING.
All outstanding balances are due upon delivery or by the terms given and Petal Fresh Inc. reserves all rights to charge inter est at the highest amount allowable under law for
all outstanding balances. Petal Fresh, Inc. does not, by accepting this credit application, agree to extend credit to applic ant which right shall remain the sole and exclusive
discretion of Petal Fresh, Inc. ALL INVOICES ARE DUE BY THE 15TH OF THE MONTH FOLLOWING THE STATEMENT CLOSING DATE. DEFAULT I N PAYMENT WILL
RESULT IN ADDTIONAL COLLECTION FEES AND/OR ATTORNEY'S FEES PLUS COURT COSTS. BUYER HEREBY ACKNOWLEDGES JURISDICTION OF THE
COURTS OF THE STATE OF FLORIDA.
CREDIT / CLAIMS:
ALL COMPLAINTS ABOUT QUALITY ISSUES MUST BE MADE WITHIN 24 HOURS OF RECEIPT OF THE MERCHANDISE AND BY WRITING WITHIN 10 DAYS.

SIGNATURE: ____________________________________ PRINT: _______________________________________ DATE:_____________________



PERSONAL GUARANTY:
The person (s) signing below agree that they are executing this agreement on behalf of the entity and individually and that they personally guaranty the obligations off the
entity. Such responsibility and guaranty are containing in nature and remain unless terminated in writing by Petal Fresh, Inc. Such liable is joint and several where
appropriate information provided herein and above is true and accurate and that entities and individual are able to pay the obligations that will be incurred with regard to
Petal fresh, Inc. The entities and individual signing hereto do hereby consent and submit it to the venue and jurisdiction of the State or Federal Courts located in Miami-Dade
County, Florida, as the sole and exclusive forum to resolve disputes and that all transactions involved between the parties shall be governed, construed, interpreted and
enforced in accordance with laws of the State of Florida. The entities and individuals signing hereto agree that in the event Petal Fresh, Inc. collects a debt from them, Petal
Fresh, Inc. is entitled to recover all costs incurred including reasonable attorney's fees, including litigation at trial and appellate levels. JURY TRAIL WAIVER: THE PARTIES
EXPRESSLY WAIVE ANY RIGHT TO A TRIAL BY JURY IN ANY PROCEEDING RELATING IN ANY FASHION TO THESE TRANSACTIONS.



SIGNATURE: __________________________________ PRINT: _________________________________________ DATE:_____________________

				
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posted:5/15/2011
language:English
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