Graves Foods - Customer Credit Application

1. Applicant Name and Address

Applicant Legal Name (Inc./LLC/LP) *

Trade Name / Doing Business As

Primary Shipping Address

Address Name / Location

Street Address *

City *

State / Province *

Zip *

County

Country

Contact Person and Title *

Telephone Number *

Email Address *

Fax Number

Billing Address

Billing address is the same as primary shipping address

Address Name / Location

Street Address *

City *

State / Province *

Zip *

County

Country

Contact Person and Title *

Telephone Number *

Email Address

Fax Number

2. Applicant Company Information

Company Type *

Corporation Limited Liability Company (LLC) Limited Partnership (LP) Proprietorship Non-Profit Government Other

If Other, please specify

State of Formation *

Date Business Started *

Federal ID Number *

DUNS Number

3. Applicant Owner / Officer / Authorized Corporate Agent Information

Officer / Agent 1

Name

Title

Business Telephone Number

Cell Telephone Number

Email Address

Officer / Agent 2

Name

Title

Business Telephone Number

Cell Telephone Number

Email Address

Attach a separate list if more than one business applies.

Existing or Prior Account With Graves Foods

Do you have an existing or prior account with Menu Maker Foods, LLC (d/b/a Graves Foods)?

Yes No

Business Name

Address

City / State

Account Number

Attach a separate list if more than one business applies.

5. Bank Reference

Bank Name

Branch Location / Address

Contact Person

Type of Account(s)

Savings Checking Loan

Telephone Number

Account Number(s)

Email Address

6. Document Requests

Please upload the following supporting documents when available:

(a) Resale or exempt tax certificate. Tax will be charged without this certificate.

(b) Applicant financial statements for the two most recent fiscal years.

Resale / Exempt Tax Certificate

Financial Statement - Most Recent Fiscal Year

Financial Statement - Prior Fiscal Year

7. Applicant’s Covenants and Certifications

By signing this application, the Applicant certifies the information provided is true, correct, and complete, authorizes Graves Foods to investigate business credit, trade references, and bank references, acknowledges that this application may be retained whether or not approved, and agrees that all sales are subject to Graves Foods’ General Terms and Conditions of Sale.

The generated PDF includes the fuller covenant language from the application packet.

Applicant Legal Name

Credit Terms Requested

Signature *

Title *

Print Name *

Date *

View General Terms and Conditions of Sale summary

The application includes provisions regarding credit terms, delivery, payment terms, limitation of liability, governing law, arbitration, confidentiality, compliance with laws, force majeure, notice, waiver, severability, survival, and amendment. The completed PDF will include those terms as part of the final packet.

8. Authorization for Direct Payment via ACH (ACH Debits)

Please attach a copy of a blank voided check.

Applicant Legal Name

Trade Name / Doing Business As

Street Address

City

State / Province

Zip

Contact Person and Title

Telephone Number

Email Address

Fax Number

Bank Name

Account Type

Checking Account Savings Account

Account Number

Routing Number

Voided Check

Signature

Title

Print Name

Date

9. Personal Guaranty

In consideration of the extension of credit, each Guarantor absolutely, unconditionally, and irrevocably guarantees payment of all obligations of the Applicant under the Agreement, subject to the terms included in the final PDF.

Guarantor 1

Signature

Print Name

Date

Address Line 1

Address Line 2

Guarantor 2

Signature

Print Name

Date

Address Line 1

Address Line 2