New Customer Application
Rockenwagner Sales Rep Name
*
Please Select
Corinne
Stefany
Jo Ann
Greg
House Account
Are you an existing or prior customer of Rockenwagner Bakery?
*
Please Select
Existing Customer
Prior Customer
Not Applicable
If Applicable, what is your Existing or Prior Customer Account Name?
Company Information
Legal Company Name
*
DBA Name
Legal Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Start Date of Business
*
Federal Tax Id#
*
Type of Business:
*
Sole Proprietor
Corporation
Partnership
Resale/Sellers Permit #
*
Upload Copy of Resale/Sellers Permit
*
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Owner Name
*
Owner Phone Number
*
Please enter a valid phone number.
Owner Email Address
*
example@example.com
Tell Us More About Your Business
Please Tell Us How Many Locations You Have:
*
1 Independant Restaurant/Store
2+ Restaurants/Stores
5+ Restaurants/Stores
Hotel
Corporate Office
Other
Type of Business
*
Bar/Brewery
Catering
Coffee
Country Club
Education
Frozen Distributor
Grocery
Hotel / Resort
Non Commercial Food Service
Restaurant
Seafood
Stadium
Travel & Entertainment
How much do you spend on average, per location for bread and pastries?
*
$100-$500 per week
$500-$1000 per week
$1000-2000 per week
$2000-5000 per week
$5000+ per week
Credit/Bank Information
Due to the tightening of regulation in the divulging of credit information, banks are now requiring written authorization from their depositor for the release of any information regarding their account. By signing below as a bank officer, you provide permission for the release of information about your account as requested below to Famarock Inc. dba Rockenwagner Bakery.
Bank Name
*
Check or Savings Account #
*
Routing #
*
Billing Contact Information
Billing Contact Name
*
Billing Contact Phone Number
*
Please enter a valid phone number.
Billing Contact Email
*
example@example.com
Preferred Payment Method
*
Please Select
Credit Card
ACH
Check
Bill.com
Plate IQ
Buyer Contact Information
Buyer Name
*
Buyer Phone Number
*
Please enter a valid phone number.
Buyer Email
*
example@example.com
BUSINESS/TRADE REFERENCES - (NO SYSCO-US FOODS PLEASE!)
Recommended references: Mutual Trading Co, Vesta Foodservice, Worldwide Produce, Santa Monica Seafood, Trimark, Four Star Seafood, & City Bean.
Reference #1 - Company Name
*
Reference #1 - Account Number
*
Reference #1 Email
*
example@example.com
Reference #1 Phone Number
*
Please enter a valid phone number.
Reference #2 - Company Name
*
Reference #2- Account Number
*
Reference #2 Email
*
example@example.com
Reference #2 Phone Number
*
Please enter a valid phone number.
Agreement
All invoices are to be paid within the net terms of your agreement, based from the date ofthe invoice. If account is late during initial three months, account becomes COD.Claims arising from discrepancies must be made within 24 hours of delivery.Compliance to Röckenwagner Bakery Terms and Procedures will be respected and followed.By submitting this application, you authorize Famarock Inc., dba Röckenwagner Bakery tomake inquiries into the banking and business/trade references that you have supplied.
Authorized Signer Name
*
First Name
Last Name
Authorized Signer Title
*
Authorized Signer Email
*
example@example.com
Signature
*
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DELIVERY INSTRUCTIONS & DROP RELEASE FORM
As a valued Rockenwagner Customer, you have two options of delivery service:
*
Alarm Code and/or Key Delivery (Preferred)
Specified Delivery Window Time (2 Hour Time Frame), inclusive of drop release acknowledgment below.
Requested Delivery Window (Earliest AM to Latest AM)
*
Hour Minutes
AM
AM/PM Option
Until
until
Hour Minutes
AM
AM/PM Option
Delivery
Customer agrees to allow Rockenwagner Drivers to deliver your wholesale orders to your location(s) without the need for a signature.
Delivery Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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AGREEMENT
We are excited you have chosen Rockenwagner Bakery to supply your establishment with the finest hand-made pretzels, breads, buns and pastries we believe to be on the market today. Our long-standing ideals and strict criteria in baking have established a reputation of outstanding quality and professional customer service. To ensure your orders are set-up and handled properly, please read the below procedures and general guidelines.
Discrepancy Notification
Notify us within 24 hours of delivery if there are any discrepancies with your order. If we do not receive communication regarding discrepancies within this 24-hour period, there will be no adjustments to your account you will be responsible for full payment of the invoice.
Delivery
Customer agrees to allow Rockenwagner Drivers to deliver your wholesale orders to your location(s) without the need for a signature.
Changing Your Order
If you would like to change your standing order, please call, email or fax adjustments by 1 p.m. the day before. Customer Service will provide you a confirmation for Email adjustments. Please call to confirm receipt of any fax adjustment or email adjustment you have not received a confirmation of.
Late Payments
Any account that falls behind in payments may result in COD only deliveries or cancellation of account. There will be a $35.00 fee for any check returned unpaid. Rockenwagner reserves the right at any time to revoke any credit extended to Customer because of Customer’s failure to pay for goods when due or for any other reason deemed good and sufficient by it.
Sales Policy
There is a $ 75.00 minimum order for delivery and a $8.50 minimum delivery fee per order. Minimums for locations outside of the 10-mile radius of West Los Angeles/Culver City may require a higher minimum for delivery or necessitate a delivery fee. Please speak with your sales representative for additional details.
Statements & Invoices
Statements are sent via email on the 15th and end of the month. If you are interested in receiving electronic copies of invoices, please request them from receivables@rockenwagner.com
Net Terms
The privilege of net 15/30 terms are offered to customers who have submitted a satisfactory credit application with references – available for second and subsequent orders. Net 15/30, according to our interpretation, means payment is due within 15/30 days of the invoice date. Any past due balance will be assessed an annual finance charge of 18%. Future in-house orders will not be released for shipment until all past due balances are paid in full, including finance charges. Should it become necessary to refer the account balance to a licensed collection agency or attorney for legal action, all subsequent charges and legal fees shall be paid by the applicant. We accept bill.com payments, check per approved terms, credit card with a 1.5% processing fee, electronic payments.
Authorized Signer Name
*
First Name
Last Name
Authorized Signer Title
*
Signature
*
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Online Shop User Assignment
Shop.rockenwagner.com is now live! Please designate the correct contact for the user roles below.
Admin User
This User has full access (billing and order) and will have the ability to add and manage additional users.
Name
*
First Name
Last Name
Email
*
example@example.com
Order User
This User can place or modify existing orders and can view invoices & statements. This User is unable to pay open invoices or manage the payment method on file.
Name
*
First Name
Last Name
Email
*
example@example.com
Billing User
This User has access to view invoices, statements, manage the payment method on file and can pay open invoices. This User is unable to place or modify existing orders.
Name
*
First Name
Last Name
Email
*
example@example.com
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