Fillable - Trade Account Application Form R10

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- Trade Account Application Form R10

On average this form takes 15 minutes to complete

The - Trade Account Application Form R10 form is 2 pages long and contains:

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  • 25 check-boxes
  • 48 other fields

Country of origin: OTHERS
File type: PDF

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Email completed form back to: sales@cavicchio.com
Rev 04_12_2021 2 P
age Document
Trade Account Application
This form is for customer information only and is not
an application for credit.
To avoid delays, please fill out application completely. Email back to: sales@cavicchio.com | Fax 978.443.5440
Date
Federal Tax ID
Type of Business
Reseller Account
Garden Center
Landscaping Related
Government
Primary Business Activity
Company
Billing Address
City/Town
Zip Code
Physical location (if above is a P.O. Box)
Address
City/Town
Zip Code
Owner Officer Information
Name
Home Address
City/Town
State
Zip Code
Email
Primary Phone
Cell Phone
Marketing Contact Please complete this section if you wish to receive weekly in season availability updates
Name
Phone
Email
Fax
Invoices, finance charges and credit memos will be emailed to the address listed below
b
Billing Contact
Name
Phone
Email
Fax
Wholesale Trade References Where are you currently buying your wholesale material
Company Name
Company Name
Company Name
Check Product Areas of Interest
Annual and Perennials
Nursery
Tropicals
Christmas
Stone and Masonry
Mulch
Dump Only
Landscape Supplies
Requesting Sales Tax Exemption
Yes
No
ALL APPLICABLE SALES TAX EXEMPTION FORMS FOR EACH STATE IN WHICH YOUR COMPANY IS EXEMPT MUST BE RECEIVED
BEFORE ACCOUNT IS SET UP AS SALES TAX EXEMPT FOR THAT STATE. (ST4 AND CERTIFICATE FROM THE STATE)
Trade Account Application
This form is for customer information only and is not
an application for credit.
Sign below if you wish to pay by check. Otherwise all payments must be made with cash or credit card.
Corporate/Personal Guarantee of Payment
We (I) the undersigned hereby acknowledge and assume personal responsibility for debts incurred under this
account name. All terms and agreements set forth on Cavicchio Greenhouses, Inc. catalogs, sales receipts,
packing slips, invoices, and statements will govern all transactions between the parties. Outstanding balances are
subject to monthly service charges of 1.5% interest. Customer agrees to pay all cost for collection and reasonable
attorney fees. The undersigned hereby submits to the personal jurisdiction of Massachusetts and further agrees
that any litigation brought against Cavicchio Greenhouses Inc. must be brought in a Massachusetts State Court. I
further agree that unless advised in writing all representatives of my company will be authorized to purchase under
this account name.
Corporate/Company Guarantee
Personal Guarantee
Company Name
Signature
Authorized
Signature
Print Name
Title
For Office Use Only
Garden Center
Landscape
Nursery
Municipality
Date
Entered By
Date
Customer
Approved By
Class
Customer ID
Credit Application Attached
Yes
No
Tax Exemption Requested
Yes
No
Sales Contact
PUA
Nursery
Landscape
Main
Email completed form back to: sales@cavicchio.com
Rev 04_12_2021 2 P
age Document
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- Trade Account Application Form R10

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Completed 28 April 2021

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