NEW ACCOUNT & CREDIT APPLICATION

NEW ACCOUNT APPLICATION

L. KNIFE & SONS, INC.
Thank you for your interest in working with us. Please have liquor license in hand before submitting, form will require a copy of license to submit. We will do our best to get you set up quickly.

If you have any questions, please reach out to us at customerservice.lks@lknife.com.
Account Contact Information
DBA Name*
Account's Physical Address*

Street Address

Street Address Line 2

CityState

Zip Code
Primary Contact*

First NameLast Name
Primary Contact's Phone Number*

Area CodePhone Number
Primary Contact's Email*
example@example.com
The Primary Contact is also the: (select all that apply)*

OwnerBuyerAccounts Payable Contact
Buyer*

First NameLast Name
Buyer's Phone Number*

Area CodePhone Number
Buyer's Email*
example@example.com
Will this account be purchasing alcohol?*

YESNO
Alcohol License (Image Required)

Your account form will NOT be processed without submitting a legible image of the Alcohol License clearly displayed on the premise.
[THIS QUESTION IS HIDDEN AND NOT SEEN BY THE RETAILER. THE QUESTION WAS NOT DELETED AS TO NOT DELETE DATA ASSOCIATED WITH FORM SUBMISSIONS THAT WERE SUBMITTED BEFORE WE REMOVED THE 'TAKE A PHOTO' OPTION.] Please take a photo OR upload an image of your Alcohol License.*

Take a photoUpload an image
[THIS QUESTION IS HIDDEN AND NOT SEEN BY THE RETAILER. THE QUESTION WAS NOT DELETED AS TO NOT DELETE DATA ASSOCIATED WITH FORM SUBMISSIONS THAT WERE SUBMITTED BEFORE WE REMOVED THE 'TAKE A PHOTO' OPTION.] Take a photo:
Please upload an image of your Alcohol License.*

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Cancelof
Alcohol License Expiration Date*

MonthDayYear
Date
Alcohol Licensee Name*
Tell us a little more about your business.
Type of business?*
Please specify:*
Business Open Date*

MonthDayYear
Date
Is account seasonal?*

YESNO
Seasonal Open Date*

MonthDayYear
Date
Seasonal Close Date*

MonthDayYear
Date
Chain?*

YESNO
Chain Store Number*
Alcohol consumed on premise?*

YESNO
This account carries: (select all that apply)*

DraughtPackage
Special instructions for delivery?
This field is for delivery instructions such as "Always see Jim before leaving." or "Use red door for entrance.", not delivery times.
Credit Information
Owner Name*

First NameLast Name
Owner Phone*

Area CodePhone Number
Owner Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please upload an image of your IRS Form W-9, titled "Request for Taxpayer Identification Number and Certification".*

Take a photoUpload an image
Take a photo:
Please upload an image of your IRS Form W-9, titled "Request for Taxpayer Identification Number and Certification".*

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Cancelof
Employer Identification Number*
Employer Identification Number should be 9 digits. This is the same as the FID number.
Do you have a different address for billing?*

YesNo
Billing Contact Name*

First NameLast Name
Billing Contact Phone Number*

Area CodePhone Number
Billing Contact Email*
example@example.com
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list three business/trade references:
Company*
Phone Number*

Area CodePhone Number
Company*
Phone Number*

Area CodePhone Number
Company*
Phone Number*

Area CodePhone Number
{dbaName5} for and in consideration of L. Knife & Son, Inc.'s approval of this Credit Application for {dbaName5}, hereby guarantees payment from {dbaName5} to L. Knife & Son, Inc., of all charges and fees which may become due in accordance with the terms and conditions of L. Knife & Son, Inc.'s credit terms, whenever the Company shall fail to pay the same. The business understands the Guaranty shall continue and be irrevocable until all charges and fees are paid or until the business receives a written release for this Guaranty.

Please note: There will be a $25.00 nonrefundable fee on all returned checks.
Terms & Conditions*
How did you hear about our company?
You will automatically be enrolled in Retailer Portal, our online customer service portal. By clicking the submit button, you acknowledge that you are authorized from the Licensee to make electronic orders and payments for this account. You will receive an email at {primaryContacts9} with instructions to access Retailer Portal.
Signature*

Clear
Should be Empty:

NEW ACCOUNT APPLICATION

Account Contact Information

Alcohol License (Image Required)

Tell us a little more about your business.

Credit Information

Please list three business/trade references: