Terms Application

Legal Name Of Company: *

DBA Name of Company (must be the name that your account will be opened under): *

Billing Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Shipping Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Business Phone: *

Area Code Phone Number

Business Fax:

Area Code Phone Number

E-mail: *

Website:

Accounts Payable Contact: *

Accounts Payable Phone: *

Area Code Phone Number

Accounts Payable Fax: *

Area Code Phone Number

Accounts Payable Email *

Accounts Payable Address (If different than mailing address): *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Type of business:

Sole Proprietorship Partnership Corporation

If you selected Corporation, list the state of incorporation:

Company's Area of Business:

Retail Manufacturing Industrial Service Other

Federal Tax ID Number:

If Sole Proprietorship, enter Last Four Digits of Social Security Number:

Years in Business: *

How did you hear about GloryBee?

What product lines are you interested in?

Net Terms:

Amount of Credit Requested: *

Please note that credit terms start at $5,000

Primary Principal/Owner Name *

First Name Last Name

Primary Principal/Owner Title

Primary Principal/Owner Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Primary Principal/Owner Phone: *

Area Code Phone Number

Primary Principal/Owner Fax: *

Area Code Phone Number

Primary Principal Email *

Secondary Principal/Owner Name

First Name Last Name

Secondary Principal/Owner Title

Secondary Principal/Owner Addresss

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Bank: *

Account Number: *

Loan Officers Name: *

Bank Phone: *

Area Code Phone Number

Bank Fax *

Area Code Phone Number

Bank Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

In order to establish credit with GloryBee of Eugene, Oregon, I/we hereby authorize the release of any pertinent information that is requested about my/our account. My company and I authorize GloryBee to make such credit investigation as GloryBee sees necessary, including contacting the trade references and banks listed herein and obtaining credit reports. My company and I authorize all trade references, banks, and credit reporting agencies to disclose to GloryBee any and all information concerning the financial and credit history of my company and myself.

Please Print Name:

Signature

Title:

Vendor Name: *

Vendor Account Number: *

Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Vendor Phone Number: *

Area Code Phone Number

Vendor Fax Number: *

Area Code Phone Number

Second Vendor Name: *

Second Vendor Account Number: *

Second Vendor Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Second Vendor Phone Number: *

Area Code Phone Number

Second Vendor Fax Number: *

Area Code Phone Number

Third Vendor Name:

Third Vendor Account Number:

Third Vendor Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Third Vendor Phone Number:

Area Code Phone Number

Third Vendor Fax Number:

Area Code Phone Number

PURCHASE ACKNOWLEDGEMENT AND ACCEPTANCE

We are pleased to have you for a new customer and are looking forward to a business relationship with you. The party who is financially responsible for debt(s) incurred personally or by authorized representatives during the course of this business relationship are required to sign this Acknowledgement and Acceptance form and return a copy to this office as part of the application process.

Invoices – All invoices are to be paid in accordance with the terms that have been issued to the account that you are responsible for. This applies to each invoice due date as well as the credit limit.

Authorized Purchasers – “Authorized Purchasers” will be considered individuals who are allowed by the financially responsible party to place orders and incur debt on the account.

Finance Charges/Late Fees – All past due invoices and other accrued fees will be charged a Late Charge at the periodic rate of 1.50% per month. Annual percentage rate is 18%.

Credit Limit – Should your account exceed the credit limit that has been extended to your business, GloryBee reserves the right to demand payment in an amount that will bring the balance of your account within your credit limit.

Default of Payment – Should past due invoices in any amount be outstanding for 30 days or more beyond the invoice due date, GloryBee may declare the entire unpaid balance immediately due and payable.

Secondary Terms & Conditions – Should GloryBee accept a mutually agreed payment plan to bring a past due account current, in no way constitutes a waiver of the original terms and conditions of the account, nor your obligation to pay within the original terms after the account becomes current.

Collections – In the event that an account is placed with an attorney or professional collection agency, any fees incurred in the collection process will be added to the account balance along with principal and interest.

Jurisdiction and Venue – In the event that legal action is required, the jurisdiction will lie in the State of Oregon and venue for any action shall be in Lane County Oregon. As the financially responsible party for this account, I acknowledge and accept GloryBee policies and practices, which is evidenced by my signature below.

ACKNOWLEDGEMENT AND ACCEPTANCE:

Please Print Name:

Title:

Select Today's Date:

Month Day Year

Signature

*ALL WASHINGTON ACCOUNTS MUST SUBMIT A CURRENT RESELLERS PERMIT WITH APPLICATION.

In consideration of the agreement to sell products of GloryBee, the undersigned agrees to the following:

1. Payment of Invoice Balance: Purchaser agrees to pay the invoice balance for all purchases within the terms of invoice.

2. Delayed Payments: GloryBee may elect to allow purchaser to make delayed payments upon request prior to any shipment.

3. Interest on Account: All past due accounts will be charged a Late Charge at the periodic rate of 1.50% per month which is an Annual Percentage Rate of 18%.

4. Default in Payment: I agree that no indulgence or acceptances of delinquent or partial payments contribute a waiver of the right of GloryBee. Should default payment of any amount continue in excess of 30 days beyond invoice terms, GloryBee may declare the entire unpaid balance immediately due and payable. In the event that any indebtedness is placed with an attorney for collection, and/or if suit shall be brought to collect any of the principle and interest due to GloryBee, then the purchaser agrees to pay all collection and attorney fees.

5. Jurisdiction and Value: It is hereby agreed that in the event legal action is required, that jurisdiction lies in the State of Oregon, and venue for any action shall be in Lane County, Oregon.

6. Informational Statements: Purchaser and Personal Guarantee state that the information contained hereto is true and correct.

Purchaser Name:

As Witnessed By:

Personal Guarantee:

Principal/Owners Personal Information: (Required)

Bank Reference (Primary Bank)

Signature

Trade References (Must be Food Suppliers of Vendors)