Brophy Brothers - New Customer Form

New Customer Form

Brophy Brothers Wholesale Fruits & Vegetables
Today's Date

MonthDayYear
Sales Representative
Trade Name / Restaurant Name
Company / Legal Name (match EIN)
Employer Identification Number
eg xx-xxxxxxx or xxx-xx-xxxx
Points of Contact
Owner Name
multiple owners? add info below to other/special requests or Affiliations
Cell Phone
Format: (000) 000-0000.
Email Address (owner)
example@example.com
Chef Name
Cell Phone
Format: (000) 000-0000.
Email Address (chef)
example@example.com
Accounts Dept Name
Cell Phone
Format: (000) 000-0000.
Email Address (ap department)
example@example.com
Business Address
City
State
Zip Code
Website
Phone Number (Restaurant)
Please enter a valid phone number.Format: (000) 000-0000.
Opening Hours (Monday through Saturday... i.e. when do staff arrive)
Other Special Requests (i.e. delivery time, key drop, and any other delivery instructions, etc...)
Affiliations (other ordering locations that you work with)
Price Code / Route (for office use)
To Place Your Order:

email orders@brophybrothers.net or Call - 914-423-5546

Deliveries are Monday-Saturday (Sundays off)
- *Next Morning deliveries: order Next by 12:00am (Midnight night before)
- Same day afternoon deliveries:
  - by 11:30am M-F
  - **by 10 am Sat** )
*Key Drop service available

**Saturday deliveries must be received by 10am, otherwise, delivered Monday

Customer Questions:

call: 914-423-5546 or email: office@brophybrothers.net
Payment Information:

We accept payment through ACH, Check, Credit Card, Zelle, and Cash.

Bank information:

Bank: Bank of America

Account #: 1416026646

Routing #: 121000358
New Customers are subject to the following payment terms:

1st Month of deliveries (depending on order cost) - COD

2ⁿᵈ Month of deliveries - Weekly payments

*3ʳᵈ Month of deliveries - 30 Day payment terms (depending on order costs).

*The credit approval process is being updated by BB's Finance Department and a separate application will be forwarded - please discuss with your Sales Rep.

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New Customer Form

Points of Contact