New Customer Onboarding

Payment Terms:

Please indicate which payment term below you would like to be considered for. We will confirm your terms with you once approved.
What payment terms are you requesting?*

CODDue Upon ReceiptNet 15Net 30Other
If Other, please specify:
Trade References

Please provide three trade references.
Vendor Name:*
Phone Number*
Please enter a valid phone number.
Attention:*

First NameLast Name
Email*
example@example.com
Vendor Name:*
Phone Number*
Please enter a valid phone number.
Attention:*

First NameLast Name
Email*
example@example.com
Vendor Name:*
Phone Number*
Please enter a valid phone number.
Attention:*

First NameLast Name
Email*
example@example.com

Payment Method:

We offer a choice between ACH Debits and Credit Card payments through Stripe.
How Would You Like To Pay For Your Orders?*

Pay with ACH DebitPay with Credit CardPay with Check
By choosing to pay with a credit card, your Accounts Payable contact will receive a stripe link to use for all future payments. Please use only this link to pay for your orders. If you would like to sign up for our automatic Credit Card payments, please reach out to ar@choicepetproducts.com.
Please Debit My:*

Checking AccountSavings Account
Financial Institution:*
Your bank's name.
Account Holder's Name:*
Routing Number:*
Account Number:*
ACH Authorization
I, Full Name*, acting as an official agent for Company Name*, hereby authorize Choice Pet Products to initiate debits from Company Name*'s account at Financial Institution*. I acknowledge that the origination of ACH transactions to our account must comply with the provisions of U.S. law.

I also acknowledge that this agreement will remain in place until I notify Choice Pet Products in writing, by mail to: 2510 51ST Avenue E, Unit 100, Palmetto FL 34221. I understand that it may take up to 7 business days upon receipt of notice for this change to take place.
I have read and understand the above statement.*
Please Upload A Copy Of A Voided Check From Your Selected Account:*

Cancelof

What Are Your Receiving Hours?*

	Receiving Department Opens	Receiving Department Closes
Receiving Hours

Please note that delivery routes are based by location, and your delivery day will be preset. Unfortunately we cannot accomodate special delivery days.

Applicant Info:

You're almost done! We just need a little bit of info about you, and a signature.
Your Name:*
Your Title:*
Your Email:*
Today's Date*

MonthDayYear
Date
Signature*

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Customer Account Application