Voluntary C.O.D. Form

N.K.S. Distributors

Voluntary C.O.D. Form
Date*

MonthDayYear
Date
Business Name*
License Number: #*
Please enter your 5 digit liquor license number
Customer Email*
example@example.com
Customer Phone Number*
I, Name* decline to complete and submit to N.K.S a credit application; therefore, Account Name* will be on C.O.D. payment terms.
For an order to be delivered by N.K.S., payment is to be made at the time of delivery or the product will not be unloaded. If your scheduled delivery arrives and there is no check (whole and complete), the delivery may be returned to the warehouse and your status for future deliveries could be considered for "pre-pay" status. If there is an issue with remittance, we ask that you communicate the matter to our Accounting Department prior to delivery.
Customer Signature*

Clear
Title 4 of the Delaware Code (Liquor Control Act) requires liquor licenses to be financially responsible. A conviction of financial irresponsibility is adequate grounds for the suspension of your liquor license.
Should be Empty:

N.K.S. Distributors