Specialty Produce - Credit Application

Please read these instructions carefully.

There is a lot of information requested in this credit application, much of it is required. A required field is marked with an *.
You do not need to finish this form all at once. After you finish and update the '1. Register' tab, you'll receive an email with a link you can use to come back and continue filling out this form.
After you complete the '1. Register' tab, you may do them in any order. They are numbered simply for navigation and reference.
Sensitive, personally identifying information, for example social security numbers, are not entered on this form. You will fill those in when you sign the digital copy provided by Docusign.
After you complete the credit application, it will be reviewed by Specialty Produce. You will then be contacted by a sales representative who will arrange to meet with you can get the final form information and your signature.
Questions? If you have any questions or problems, please don't hesitate to call the Specialty Produce accounting department @ 619-876-4070.

Important! Each tab has it's own button. If you make any changes on a tab, it turns red .
If you don't click Update and you don't see the Updated box appear after clicking, your information is not saved!

Guaranty Agreement

Updated

* Corporate Legal Name Trade Name (DBA, T/A, etc.) *Corporate Address 1 Address 2 * City * Zip * Years at Address * Main Phone ###-###-#### Main Fax ###-###-#### Filled in at signing
EIN or SS# Filled in at signing
Driver's License # / State Filled in at signing
State Employer ID #

For valuable consideration, and in order to induce Tomatoes Extraordinaire, Inc. DBA Specialty Produce, hereinafter "Specialty Produce", to grant credit to and engage in transactions with , hereinafter "CLIENT", the undersigned, hereinafter "GUARANTOR(S)", agree(s) to the terms and conditions set forth in the Client's APPLICATION FOR CREDIT. If credit is granted to CLIENT, GUARANTOR(S) is/are responsible in full for payment of CLIENT's account with Specialty Produce.

In consideration of Specialty Produce's extension of credit to CLIENT and at the GUARANTOR(S) request, GUARANTOR(S) hereby personally guarantee payment of all of CLIENT's obligations to Specialty Produce, now due and owing or which may become due and owing to Specialty Produce from CLIENT at any time. Each of the GUARANTOR(S) agree that the liability for all sums guarantees shall be a joint and several one. Liability of the GUARANTOR(S) shall not be affected or prejudiced by the additional acceptance of a note or evidence of indebtedness, the extension of time, payment arrangements or other indulgence granted to CLIENT, or by agreement affecting said indebtedness, and the undersigned hereby waive(s) notice of all of the aforesaid.

The filing of suit or exhaustion of collection or legal remedies against said CLIENT shall not be a condition precedent to the enforcement of this guaranty and the GUARANTOR(S) expressly waive(s) demand, presentment for payment, protest, notice of protest and/or diligence. This GUARANTY shall remain in effect until the completion of all transactions between Specialty Produce and CLIENT.

Should collection proceedings be instituted by Specialty Produce, concerning accounts covered by this GUARANTY AGREEMENT, GUARANTOR(S) hereby agree(s) to be responsible for payment of all reasonable collection costs, attorney fees and court costs incurred in said collection proceedings whether or not litigation is instituted. Further, should any other legal dispute arise among the parties, Specialty Produce, CLIENT and/or GUARANTOR(S), the prevailing party shall be entitled to attorney fees and costs. Facsimile, photocopy, electronic and digital signatures will be as valid as an original signature for purposes of this Agreement.

IN WITNESS WHEREOF, the undersigned GUARANTOR(S) have executed this guaranty on ____________________, 20____.

These names, dates and signatures will be collected when the guaranty is signed.
"GUARANTOR" :		"GUARANTOR" :
______________________________ (Signature)		______________________________ (Signature)
______________________________ (Printed Name) AS AN INDIVIDUAL		______________________________ (Printed Name) AS AN INDIVIDUAL
______________________________ (Position)		______________________________ (Position)

Credit Terms

Updated

HEREBY APPLIES FOR CREDIT IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF:

TOMATOES EXTRAORDINARE, INC.
DBA Specialty Produce
1929 Hancock St., Suite 150
San Diego, CA 92110
(619) 295-3172

* Normal Credit Terms :

Net 7 Days

Net 14 Days

Net 21 Days

COD

* Credit Limit Requested :
$

Required weekly minimum for delivery : $700

If you meet the weekly minimum would you prefer:

Delivery
OR
Pick Up Only

Specialty Produce has and accepts a variety of payment options including Online Bill Pay (using your bank account or credit card information), physical checks mailed in or automatic credit card payments (weekly to monthly with a credit card on file).

Bank Information

Updated

* Bank Name Bank Address Street, City, State & Zip * Bank Phone ###-###-#### Bank Contact Person * 1. Account Type Checking, Savings or Corporate Checking * 1. Account Number * 1. Routing Number 2. Account Type Checking, Savings or Corporate Checking 2. Account Number 2. Routing Number Billing Information Specialty Produce has an online bill payment system with an autopay feature. In order to set this up, we require the following information.
You can find a copy of our Bill Pay Terms and Conditions at https://specialtyproduce.com/files/bptc.pdf. * For my Bill Pay/AutoPay, I prefer to use : Bank/ACH Credit Card * Billing Address Street, City, State & Zip * Billing Phone ###-###-#### * Billing Email Billing Fax ###-###-#### Credit Card Information If you choose to use "Credit Card" for your Bill Pay there will be a place for you to write in the credit card information on your application when you sign it.

We have decided to collect credit card information in DocuSign instead of our own database. When we go to create your payment token in our payment processor's system, we'll enter your information there.

Trade References

Updated

We require a "Fresh Produce" and at least one other Trade Reference.
If you are an existing customer, for example starting up a new location, please just enter "Existing - " and your current account's name in the Fresh Produce box. * Fresh Produce - Business Name Address Street, City, State & Zip * Phone ###-###-#### Grocery - Business Name Address Street, City, State & Zip Phone ###-###-#### Meat - Business Name Address Street, City, State & Zip Phone ###-###-#### Seafood - Business Name Address Street, City, State & Zip Phone ###-###-####

Additional Info

Updated

This information will help us set up your account up.
* Marked items are required. In Which types of businesses are you involved? Please check at least one and all that apply Bar Catering Coffee Shop Delicatessen Food Truck Retail Store Restaurant Kitchen Numbers Kitchen Phone ###-###-#### Kitchen Fax ###-###-#### Preferred Delivery Times - We do our utmost to accommodate each customer. Bearing in mind the logistics involved, what are your preferred delivery times for each day? Sunday i.e. 9:30 am Monday Tuesday Wednesday Thursday Friday Saturday * Electronic Invoice Delivery - Please list email address(es) and/or fax number(s), with a description of whose email it is and where the fax machine is located. You must enter at least one email and/or fax number. Email(s) i.e. janed@mycafe.com (Chef), jond@mycafe.com (Owner) Fax(es) i.e. 619-555-1212 (Kitchen) Online Ordering Access - Please enter the Name, Email and preferred password for the chef and accountant for accessing our online system. We will assign a friendly username (which you can change later ). * Chef's Full Name * Chef Email * Chef Password Letters and numbers only Accountant Name Accountant Email Accountant Password Letters and numbers only Online Presence - We have a vibrant social networking program and would like to include your information when appropriate. Restaurant Website Chef's Email Twitter Facebook Other Social Networking

Final Certification

There is no information to submit on this tab, it is included so you are aware of all of the content in the document you will be signing in the DocuSign form.

I certify that all the information on this form is correct and complete. The perishable agricultural commodities are sold subject to the statutory trust authorized by Section 5 of the Perishable Agricultural Commodities Act of 1930 (7 U.S.C. 499E). The seller of these commodities retains a trust claim over these commodities, all inventories of food or other products derived from these commodities and any receivables or proceeds from the sale of these commodities until full payment is received and whether or not litigation is instituted. In the event that formal collection efforts are instituted on any invoice arising from this application, the undersigned hereby agree(s) to pay all reasonable collection costs, including but not limited to attorney's fees and court costs arising from the collection process.

Dated : Filled in at signing

This signature will be collected when the credit application is signed.
______________________________ (Signature)
______________________________ (Printed Name)
______________________________ (Position)

Important

Once you begin the DocuSign form you will not be able to comeback to it at a later time and will have to begin from this tab again.

Please make sure you have all the below information on hand before continuing onto DocuSign.

Credit Card Information (if selected as payment method)
EIN or SS#

If you do not have this information at the moment, don't worry you can come back to this section later.

If you choose to continue at this time please select one of the following:

I am an Applicant Only (not a principal owner)
(You will need to input principal owner(s) name and email in the following Docusign section)

I am an Applicant and one of the principal owners
(If there are more principal owner(s) aside from yourself please list their names and emails as well in the following Docusign section)