Credit Application - Rocky Mountain Spice Company

Select your Sales Representative(Required)

Business Information

Legal Business Name(Required)

DBA (IF DIFFERENT THAN ABOVE)

Year Established(Required)

Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

How many years at the current address(Required)

Phone(Required)

Fax

Mobile

Email Address(Required)

Enter Email Confirm Email

Federal Tax ID#(Required)

Sales Tax ID#(Required)

Upload your Colorado Sales Tax License

Max. file size: 128 MB.

W-9 Upload

Max. file size: 128 MB.

Business Type

Business Type(Required)

Corporation

S Corp

LLC - Partnership

LLC - Sole Proprietorship

(1) Pincipal Name(Required)

(1) Principal Title(Required)

(1) Prinical SS#

(1) Principal Phone(Required)

(2) Prinipal Name

(2) Principal Title

(2) Principal SS#

(2) Principal Phone

RMSC Services Reuested

Services Requested(Required)

Custom Blending

Raw Ingredients

Co-Pack

Private Label

SOME PROJECTS MAY REQUIRE A DEPOSIT.Contact your Sale Representative for more details.

Typical Order Amount in dollars

Order Frequency

Payments Terms(Required)

Net 30

Pre-Pay

Requested Credit Line Amount

Bank Information

Bank Name(Required)

Bank Account Number:(Required)

Bank Address(Required)

Street Address City State ZIP Code

Bank Officer/Contact(Required)

Bank Contact Phone(Required)

Bank Contact Email

Trade References

Trade References Upload

Max. file size: 128 MB.

(1) Trade Reference

(1) Trade Reference Contact

(1) Trade Reference Phone

(1) Trade Reference Email

(1) Trade Reference Address

Street Address City State ZIP Code

(2) Trade Reference

(2) Trade Reference Contact

(2) Trade Reference Phone

(2) Trade Reference Email

(2) Trade Reference Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

(3) Trade Reference

(3) Trade Reference Contact

(3) Trade Reference Phone

(3) Trade Reference Email

(3) Trade Reference Address

Street Address City State ZIP Code

Accounts Payable Information

Accounts Payable Contact(Required)

Accounts Payable Phone Number(Required)

Accounts Payable Email(Required)

Purchasing Information

Do you use Purchase Orders?(Required)

Yes

Purchasing Contact(Required)

Purchasing Phone Number(Required)

Purchasing Email(Required)

Shipping Information

Prefered method of receiving(Required)

FEDEX/UPS

TRUCK LOAD OR LTL

PICK UP

LOCAL DELIVERY

Local delivery fee may apply depending on your location.

Shipping and Handling Fees may apply. Talk to your Sales Representative for more information

Rocky Mountain Spice Company can manage the logistics of your shipping and add the cost to your invoice.

Do you want manage your own logistics?

Yes

Rocky Mountain Spice Company will notify you via email when your order is ready for pick-up.

Shipping Address(Required)

Street Address Address Line 2 City State ZIP Code

Delivery Instructions

Please enter any special instructions regarding delivery times, days, and location information. Include the size of the recieving area, etc. if relevant.

Acknowledgment

By submitting this form, the undersigned acknowledges that Rocky Mountain Spice Company (RMSC) is extending credit to the above party. The undersigned hereby guarantees payment to RMSC for merchandise received. This liability remains unaffected by any indulgence, compromise, settlement, extension, or variation of terms, and notice of presentment or dishonor is waived. The extension of payment time is solely at the discretion of RMSC. The undersigned agrees to notify RMSC of any change in ownership. Additionally, the undersigned acknowledges that interest will be charged on past-due accounts at a rate of 1.5% per month and agrees to pay attorney and court costs if legal action for collection becomes necessary.

Authorized Representative(Required)

Authorized Representative's Title(Required)

Acknowledgement(Required)

I acknowledge the above and confirm that I am authorized by the business to submit this credit application.