NEW ACCOUNT & CREDIT APPLICATION

NEW ACCOUNT APPLICATION

L. KNIFE & SONS, INC.
Thank you for your interest in working with us. Please complete the following form in full. 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

City State

Zip Code
Primary Contact *

First Name Last Name
Primary Contact's Phone Number *

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

Owner Buyer Accounts Payable Contact
Buyer *

First Name Last Name
Buyer's Phone Number *

Area Code Phone Number
Buyer's Email *
example@example.com
Does this account sell alcohol? *

YES NO
Please take a photo OR upload an image of your Alcohol License. The image must show the license clearly displayed on the premises *

Take a photo Upload an image
Take a photo: *
Upload an image: *

Browse Files

Cancel of
Alcohol License Expiration Date *

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

Month Day Year
Date
Is account seasonal? *

YES NO
Seasonal Open Date *

Month Day Year
Date
Seasonal Close Date *

Month Day Year
Date
Chain? *

YES NO
Chain Store Number *
Alcohol consumed on premise? *

YES NO
This account carries: (select all that apply) *

Draught Package
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 Name Last Name
Owner Phone *

Area Code Phone Number
Owner Home Address *

Street Address

Street Address Line 2

City State / Province

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

Take a photo Upload an image
Take a photo:
Upload an image:

Browse Files

Cancel of
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? *

Yes No
Billing Contact Name *

First Name Last Name
Billing Contact Phone Number *

Area Code Phone Number
Billing Contact Email *
example@example.com
Billing Address *

Street Address

Street Address Line 2

City State / Province

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

Area Code Phone Number
Company *
Phone Number *

Area Code Phone Number
Company *
Phone Number *

Area Code Phone 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

Tell us a little more about your business.

Credit Information

Please list three business/trade references: