Customer Wholesale Application for Bad Boy Bakehouse

Customer Wholesale Application for Bad Boy Bakehouse
How Did You Hear About Us?*
If other was selected above, please note down who/how:
Business Details
Registered Name of Business*
Trading Name*
ABN/ACN*
Business Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Main Business Contact*

First Name Last Name
Main Contact's Position*
Main Business Email*
example@example.com
Main Business Phone Number*

Area Code Phone Number
Main Contact Mobile Number*

Area Code Phone Number
Details of Owner/Directors
Owner/ Director 1: Name*

First Name Last Name
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email*
example@example.com
Owner/ Director 2: Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
Accounts Payable
Name*

First Name Last Name
Phone Number*

Area Code Phone Number
Email*
Online Ordering & Delivery
Online Ordering Contact Name*

First Name Last Name
Online Ordering Contact Phone*

Area Code Phone Number
Email for Online Ordering Account Log In *
example@example.com
Store Operating Hours (For Delivery Purposes)*
Will you be able to supply a store key?*

YesNo
Delivery instructions (Key must be provided or access to safe delivery location organised) Please assist with any delivery instructions (loading dock times/open gate/back entry door etc). Deliveries are made between 1am - 5am and we request key access or a safe location to deliver your stock.*
*Please Note: Unfortunately if we are unable to have safe access to your store, we are unable to deliver our goods. We aim to supply our products to you in the safest way possible. As our delivery schedule is different each day, we cannot guarantee delivery to your store at a set time each morning. We apologise for the inconvenience this may cause.
Things we need to know
Principal Business Activity*

RestaurantCafeDistributorCatererTake Away - Burger ShopFood ServiceSupermarket
Is the business a franchise or part of a group?*

YesNo
How many stores will require supply?*
Please list your current bakery/bread/sweets supplier*
Acknowledgement of Terms & Payments
TERMS OF AGREEMENT 1. I/We (the Guarantor) understand that the terms of payment are strictly payment prior to delivery; COD or if arranged otherwise (in writing) with A&B Novak Group Pty Ltd T/A BadBoyBakehouse. 2. I/We the Guarantor) agree A&B Novak Group Pty Ltd T/A BadBoyBakehouse reserves the right to charge late payment fee of 2% on the outstanding balance per week from the date it becomes overdue until paid. 3. I/We the Guarantor) agree A&B Novak Group Pty Ltd T/A BadBoyBakehouse reserves the right to withhold supply of further product dispatches until payment is received in full and account is brought up-to-date. 4. I/We (the Guarantor) represents and warrants to A&B Novak Group Pty Ltd T/A BadBoyBakehouse that the information contained herein is true and correct to best of its knowledge5. I/We (the Guarantor), the above also agree to personally guarantee in full the immediate payment of debt incurred in the event of default by the applicant(s)/company. 6. I/We (the Guarantor) agree to pay to A&B Novak Group Pty Ltd T/A BadBoyBakehouse’s costs and disbursements incurred in recovering monies secured by this deed, including debt recovery agency fees and legal costs on an indemnity basis. 7. I/We (the Guarantor) acknowledge having read and agreed to the terms and conditions stated herein:*

I agree
When your online account is set up in Ordermentum, you will be prompted to add your payment details (credit card or direct debit) in to the system securely. You acknowledge that the details you enter in to the system will be used to charge for the orders placed with Bad Boy Bakehouse. You agree and allow us / or our service provider to make these charges. Failure to enter payment details in to the system will regrettably mean we are unable to supply our goods.*

I agree
Name*

First Name Last Name
Position*
Date*

DayMonth Year
Date
Signature*

Clear
Should be Empty:

Customer Wholesale Application for Bad Boy Bakehouse

Business Details

Details of Owner/Directors

Accounts Payable

Online Ordering & Delivery

Things we need to know

Acknowledgement of Terms & Payments