Corporate invoicing is available with pre-approved credit. Please call 800-344-2739 to speak with an account representative.
Coffee.org
6315 Old Harrison Lane, Building C
Fort Smith, AR 72916 Phone: (479)434-6830 Fax: 1(479)434-6923
COFFEE.ORG CREDIT APPLICATION FOR A BUSINESS ACCOUNT BUSINESS CONTACT INFORMATION
Title:
Company name:
Phone:
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E-mail:
Registered company address:
City:
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ZIP Code:
Date business commenced:
Sole proprietorship:
Partnership:
Corporation:
Other: BUSINESS AND CREDIT INFORMATION
Primary business address:
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ZIP Code:
How long at current address?
Telephone:
Fax:
E-mail:
Bank name:
Bank address:
Phone:
City:
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ZIP Code:
Type of account
Account number
Savings
Checking
Other
BUSINESS/TRADE REFERENCES
Company name:
Address:
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ZIP Code:
Phone:
Fax:
E-mail:
Type of account:
Company name:
Address:
City:
State:
ZIP Code:
Phone:
Fax:
E-mail:
Type of account:
Company name:
Address:
City:
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ZIP Code:
Phone:
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E-mail:
Type of account: AGREEMENT
1. All invoices are to be paid 10 days from the date of the invoice.
2. Claims arising from invoices must be made within seven working days.
3. By submitting this application, you authorize Coffee.org to make inquiries into the banking and business/trade references that you have supplied. SIGNATURES
Title:
Date:
Title:
Date:
