Texas Nut Shellers That is best which works best 325.642.5593
Sales@TexasNutShellers.com

wholesale

BUSINESS INFORMATION

Date/Time: Required fields are in * Red.

14-12-2017 14:58 PM
* Legal Name:
* Business Name (DBA):
* Owner's Name(s):
* Business Address:
* Shipping Address:
* City:
* State: * Zip Code:
* e-Mail:
* Phone Number: ###-###-####
ext:
Fax Number: Format: ###-###-####

Please fill the appropriate circle:

           



 Federal ID #:
 Sales Tax Exempt #:
Officers:
Name:     Social Security # 

Name:     Social Security # 

Authorized Buyers:
Name:     Social Security # 

Name:     Social Security # 

Store Hours
Monday   

Wednesday   

Friday   

Sunday   
   Tuesday   

   Thursday   

   Saturday   

ACCOUNT REQUIREMENTS

Please enclose the following with this application:
  • At least two photographs of the business.
    1.) Showing the exterior building and store sign.
    2.) Showing the interior of the building including inventory, fixtures, or space to be occupied (if a new business).
  • Copies of Resale and/or Sales and Use Tax Permits/Licenses.

BUSINESS QUESTIONS


Please answer the following questions:
How long has the above business been operating under this name?
How long has the present owner been operating this business?

PERSONAL INFORMATION

Name
Social Security Number
Address
City
State Zip Code:
Daytime Phone Format: ###-###-####
Evening Phone Format: ###-###-####
How long have you resided at your current address?   

ADDITIONAL INFORMATION

Please provide us with any additional information
you would like us to know about your business:
Terms are COD. You may use Visa, MasterCard, Discover, or American Express. I understand and agree to all the service and return policies as specified in the current Terms & Conditions. Proper use of intellectual property will be provided with the approval of this application. Any proposed use of intellectual property must be submitted in writing to Texas Nut Shellers for approval; in its sole discretion, before use. You agree to promptly discontinue the use of intellectual property upon receipt of written notice from Texas Nut Shellers, in its sole discretion. You further agree not to infringe intellectual property, and disclaim all right, title, and interest in or to intellectual property. I have read and will comply with the attached requirements regarding the use of the Texas Nut Shellers Shops name and logo.
* Signature: understand and agree to comply at all times with Trademark Usage Guidelines, as provided by Usage Guidelines and the restrictions on use of the Trademarks as set forth in Exhibit A hereto. I understand that establishing an account does not grant me a license to use any trademarks or other intellectual property.
I agree that I will be responsible for all debts by the business listed on this application, and for all collection, attorney fees, and finance charges incurred by Texas Nut Shellers.
Your fax number and e-Mail address are used to communicate to you. By providing your fax number or e-Mail address you are giving written permission to receive related information from Texas Nut Shellers that may be of interest to you. We will not share this information or use it for any other purpose. You may opt out of receiving faxes or e-Mail from us any time in the future.
By signing this application, you hereby certify your authority to do so on behalf of the applicant and that to the best of your knowledge all information provided herein is accurate. You also hereby waive all privacy of credit information rights, laws, or regulations including the Consumer Credit Protection Act of 1968 with all amendments and give permission to Texas Nut Shellers to verify all facts disclosed herein including the release of bank information. A signed, faxed copy of this application will be considered the original. Owner or officer signature required.
* Signature: Date: