Account Application

Please enable JavaScript in your browser to complete this form.

Corporate Name

Doing Business As Name (if applicable)

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address (if different)

Address Line 1

Address Line 2

City

State

Zip Code

Sales Tax ID

DUNS #

Federal ID #

Type of Business (Restaurant, Grocery, etc)

Primary Owners, Partners, or Corporate Officers

Owner / Partner / Officer #1: Name

Title

Phone

City

State

Zip/Postal Code

Owner / Partner / Officer #2: Name

Title

Phone

City

State

Zip/Postal Code

Accounts Payable Contact Name

Buyer or Primary Contact Name

Estimated Weekly Purchases

Accounts Payable Phone

Buyer Phone

Accounts Payable Email

Buyer Email

Bank Reference

Bank Name

Bank Officer or Contact Name

Account #

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Trade References

Reference #1: Name

Contact Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference #2: Name

Contact Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference #3: Name

Contact Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Payment Terms

I authorize you to obtain credit and/or financial information from our bank(s), consumer credit and commercial credit reporting agencies and other commersical firms we have done business with. It is understood that any such credit and/or financial information will be held in strict confidence and used only in consideration of this application. We warrant that this information provided on this application to be true and accurate

The total invoice indebtedness is currently payable immediately upon delivery. If credit is extended to us base upon these representations we agree to pay any obligations due in accordance with the tersm established by Quality Meats & Seafood. If for any reason the account is not paid when due and collection efforts are required, I agree to pay reasonable attorney's fees and any interest charges due. I understand that by signing this application, I agree to personally guarantee payment of any or all debt incurred by the application to Quality Meats & Seafood. This agreement shall be goverened by the laws of North Dakota. I consent to the jurisdiction of the courst of Cass County, North Dakota and expressly waive any objection that such courts would be inconvenient.

Signature / Acceptance of Terms

Submission of this credit application to us, does not constitute creation of an account, this application must be reviewed and processed, we will reach out within a reasonable amount of time whether or not the application was denied or approved. Generally, if approved we will have our Account Manager reach out to you via phone or e-mail depending on your application

Signature

Clear Signature

Payment Terms
I authorize you to obtain credit and/or financial information from our bank(s), consumer credit and commercial credit reporting agencies and other commercial firms we have done business with. It is understood that any such credit and/or financial information will be held in strict confidence and used only in consideration of this application. We warrant that this information provided on this application to be true and accurate The total invoice indebtedness is currently payable immediately upon delivery. If credit is extended to us base upon these representations we agree to pay any obligations due in accordance with the terms established by Quality Meats & Seafood. If for any reason the account is not paid when due and collection efforts are required, I agree to pay reasonable attorney's fees and any interest charges due. I understand that by signing this application, I agree to personally guarantee payment of any or all debt incurred by the application to Quality Meats & Seafood. This agreement shall be governed by the laws of North Dakota. I consent to the jurisdiction of the courts of Cass County, North Dakota and expressly waive any objection that such courts would be inconvenient.
Signature / Acceptance of Terms
Submission of this credit application to us, does not constitute creation of an account, this application must be reviewed and processed, we will reach out within a reasonable amount of time whether or not the application was denied or approved. Generally, if approved we will have our Account Manager reach out to you via phone or e-mail depending on your application