Business Credit Reports

Company Information

Company Name

DBA

Address

City

State/Province

Zip/Postal Code

Country

Phone

Billing Address

Billing City

Billing State/Province

Billing Zip/Postal Code

Tax Identification #

Previous Address

Website

Legal Form (Corporation, Partnership, or Proprietorship)

Contact Information

First Name

Last Name

Title

Phone

Fax

Accounts Payable Contact Information

First Name

Last Name

Title

Phone

Fax

Credit Reference #1

Company

Contact

Phone

Fax

Address

Account #

Credit Reference #2

Company

Contact

Phone

Fax

Address

Account #

Request

Requested Amount

Comments (400 characters max)

Supporting Documentation

If tax exempt, please upload proper documentation here.

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Uploaded Documents

Terms

FLOURISH FARM TERMS & CONDITIONS

Wholesale purchases must be for resale. Buyer must provide Federal ID Number and State Sales and Use Tax Certificate.

We accept credit cards. Visa MC, Amex, Discover, Paypal & Paypal credit. Credit card payments are processed on the day of shipment.

CREDIT TERMS
• 2/10 Net 30 upon approval of a signed credit application
• Invoices may be paid by check or credit card (via Paypal)
• Only one outstanding invoice at a time
• 1-1/2% per month charge added to invoices over 30 days past due
• No orders will be shipped to accounts with an outstanding balance 45 days past due
• Accounts over 45 days past due may lose credit status
• $50.00 returned check charge
Unauthorized deductions from invoices will not be accepted.

Foreign shipments only by prepayment, letter of credit, MasterCard, Visa, American Express or Discover.

CLAIMS (DAMAGED GOODS OR INCORRECT SHIPMENTS)
• Flourish Farm must be notified within 48 hours of receipt of merchandise
• Authorization is required for return and credit for damaged or incorrect goods
• All product and packaging must be retained and available for inspection on damage claims
• No credit will be given for items returned without authorization
• There is a 20% restocking charge on returns made at customer’s discretion

Prices subject to change without notice.

THANK YOU FOR YOUR BUSINESS!

I accept the above terms.

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Submit the Request

By clicking 'Submit', I/We authorize Flourish Farm or its agent to obtain a credit report for the purpose of establishing, maintaining or enforcing a credit relationship. Upon approval of credit, I/We agree to pay our account according to the terms granted and I/We acknowledge that I/We have read and fully understand this application.

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