New Customer Application

Company Information:

COMPANY'S NAME *

BILLING ADDRESS:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

SHIP TO ADDRESS:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

COMPANY'S PHONE NUMBER: *

Please enter a valid phone number.Format: (000) 000-0000.

BUYER'S INFOMATION:*

First NameLast Name

BUYER'S PHONE NUMBER: *

Please enter a valid phone number.Format: (000) 000-0000.

BUYER'S EMAIL: *

example@example.com

ALTERNATIVE BUYER'S INFORMATION:

First NameLast Name

BUYER'S PHONE NUMBER:

Please enter a valid phone number.Format: (000) 000-0000.

BUYER'S EMAIL:

example@example.com

TO WHOM SHOULD QUOTE SHEETS BE DELIVERED?*

example@example.com

TO WHOM WILL PASSINGS AND CONFIRMATION OF SALES BE DELIVERED TO?*

EMAIL ADDRESS:

YESNO

IF YES, WHOM?

PLEASE ENTER SALES REP NAME:

ACCOUNTS PAYABLE INFORMATION:*

First NameLast Name

A/P EMAIL:*

example@example.com

A/P PHONE NUMBER:*

Please enter a valid phone number.Format: (000) 000-0000.

YESNO

IF NO, TO WHOM WILL INVOICES BE EMAILED TO?*

EMAIL ADDRESS:

NET PAY TERMS: FARMERS BEST 10 DAYS AFTER ACCEPTANCE (PACA PROMPT).*

IF DISAGREE, PLEASE PROPOSE AN ALTERNATIVE TERM:*

*NOTE: THIS WILL NEGATIVELY IMPACT APPROVAL OF APPLICATION.*

WHAT WILL YOUR PAYMENT METHOD BE?*

F.O.BDELIVERED

PLEASE READ "THE TOMATOES SUSPENSION AGREEMENT LETTER'"

YES

PLEASE UPLOAD PACA LICENSE*

NOGALES,AZPHARR,TXBOTH (AZ/TX)

YESNO

IF YES, PLEASE LIST YOUR TOP 4 RETAIL LOCATIONS:*

TELL US SOMETHING ABOUT YOUR COMPANY:

Dear Applicant,

Thank you for your interest in partnering with Farmer’s Best International! We are excited about the opportunity to work with you and are always eager to build strong, mutually beneficial relationships.

As part of our responsibility to protect both our company and our valued growers, we maintain certain credit standards for new accounts. Typically, we require a rating of 50M XXX B and/or a minimum score of 725 with the Produce Blue Book.

If your company does not currently meet these requirements, we may still be able to proceed by establishing your account as a cash account. In such cases, we ask that payment be made via wire transfer to our bank prior to shipment.

Should you have any questions about our credit policy or need further clarification, please feel free to contact me directly by phone or email.

We sincerely appreciate your interest in doing business with us and look forward to the possibility of working together.

Best regards,
Sasha Lewton
Director of Sales
Farmer’s Best International
O: 520-989-1589
E: slewton@farmersbest.us

BLUE BOOKS NUMBER#:*

CURRENT BB CREDIT SCORE:*

CURRENT BB RATING:*

YESNO

IF YES, PLEASE EXPLAIN THE REASON:*

Trade References*

New Customer Application

ACCOUNTING INFORMATION:

BLUE BOOK INFORMATION

DISCLAIMER: