P&D SEAFOOD CREDIT APPLICATION FORM:
Print and fax this form to 213-624-3797

*If you want to apply the credit term, Please fill out the credit application form fax to us (213)624-3797.
1. Full Business Name
 
2. Contact personal
3. Shipping Address
Contact person:
Address
City
State Zip Code
Country
Phone Fax:

4. Complete the following with respect to each major shareholder,
    directors, officers, principals general partners:

Name Address Title
8*
5. Banking reference:
a. Name of Bank b. Branch address c. Phone
d. Account number e. Bank Officer familiar with account  
 
6. Dun & Bradstreet number ( if applicable )
7. Trade References: List four (4) major suppliers ( include at least two (2) suppliers you buy from on open account) including addresses, tel. no.'s, name of person to contact and credit limit per supplier. Include as many seafood references as possible.
Supplier Address/phone Contact name Credit limit

8. In consideration of the credit to be extended to me, under this agreement, I herewith agree: to all invoices within term; that invoices not paid within terms shall be subject to a 1 1/2% per month service charge, that in the event of default on invoices P&D Seafood Company, Inc. shall have the right to declare all invoices due and payable : that in the event legal action is instituted to enforce collection, to pay reasonable attorney's fees and cost for such legal action. I/We also agree to submit to legal jurisdiction in the City of Los Angeles, County of Los Angeles, State of California. That upon payment in full of any and all purchases made thereafter.
Company _________________ Date__________________ Title__________________

 

PERSONAL GUARANTEE
For value received, the undersigned hereby unconditionally guarantees payment of all obligations incurred by the above name applicant. The undersigned further guarantees all renewals extensions; additions thereof, and hereby waives presentation, demand, protest, notice of protest, and notice of no-payment. The undersigned further agrees that in the event legal action is instituted to enforce collection, to pay reasonable attorney's fees and cost for such legal action. I/We also agree to submit to legal jurisdiction in the City of Los Angeles, County of Los Angeles, State of California. That upon payment in full of any and all purchases made thereafter.

Date __________________ Signature _____________________________

P&D Seafood Co. . 920 Agatha Street . Los Angeles . CA 90021 . Tel: 213-624-9187 . Fax: 213-624-3797

 © P&D Seafood Co. 2000