Neil Jones Food Company Credit Application 2026

Credit Application 2026

NEIL JONES FOOD COMPANY
Your Information Matters

The Neil Jones Food Company values the privacy and security of your business information. This application is submitted through a secure HTTPS connection to help protect information during transmission. Information collected will be used solely for credit evaluation and customer account setup.
- Business Information
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Business Name
- DBA
- Dunn & Bradstreet (D&B#)
- Company Web Address
- Type of Ownership
- Ownership Type
- Owner Name
- Owner Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Owner Percentage Ownership
- President Name
- President Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- President Percentage Ownership
- No. of Employees
- Estimated Annual Sales
- Applicant
- Applicant Name
- Applicant Email Address
  example@example.com
- Applicant Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Applicant Fax
  Please enter a valid phone number.Format: (000) 000-0000.
- Applicant E-mail (alternate)
  example@example.com
- Account Payable & Bill Contact Information
- Business Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Business Fax
  Please enter a valid phone number.Format: (000) 000-0000.
- Business Email Address
  example@example.com
- Billing - Company Name
- Billing - Contact Name
- Billing - Addresss
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Billing - Email Address
  example@example.com
- Billing - Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Billing - Fax
  Please enter a valid phone number.Format: (000) 000-0000.
- AP Contact / Phone
- AP Contact / Payment Inquiries Contact Email Address
  example@example.com
- Require Monthly Statement
- Date Established (Current Owner)
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Section 4: Trade References
- Trade References
- Bank Reference
- Section 6: Order Information & Ship To Information
- General Description of products to be purchased
- Desired Credit Limit
- Accept Partial Shipments
- Ship to:
  
  Business Name
  
  Street Address
  
  CityState
  
  Zip CodeCountry
- ATTN / Receiving Contact
- Delivery / Shipment Instructions / Special Requirements
- Ship To - Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Ship To - Email Address
  example@example.com
- Neil Jones Sales Representative
- Broker Name / Other
  Enter N/A if not applicable
- Orders will be placed by
- EDI Available
- File Upload
  
  Credit References / Financials / Other Documents
  Cancelof
- Officer/Principal Signature
- Officer/Principal Printed Name
- Officer/Principal Signature Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Please verify that you are human
Should be Empty:

Credit Application 2026

Business Information

Applicant

Account Payable & Bill Contact Information

Section 4: Trade References

Section 6: Order Information & Ship To Information