Wholesale Credit Application

CREDIT APPLICATION FOR A BUSINESS ACCOUNT

BUSINESS CONTACT INFORMATION

A Sales Tax Exemption/Resale Certificate must be submitted with this application (attach below or email to info@risingphoenixplends.com)

MM slash DD slash YYYY
Contact Name
Registered Company Address(Required)
Business Entity(Required)

Company Mailing Address (If Different then above)(Required)

BUSINESS AND CREDIT INFORMATION

Bank Address
Type of Account(Required)

BUSINESS/TRADE REFERENCES

Address
Address
Address

Should Rising Phoenix Blends LLC approve this application, the above stated contact person by electronicly signing below, being the above-referenced business, agrees to pay, pursuant to the terms of the Rising Phoenix Blends LLC invoice, for all goods purchased, any and all costs of collection, including, but not limited to, attorneys’ fees, costs, and expenses if needed. In addition, the undersigned hereby authorizes Rising Phoenix Blends LLC to contact any references or banks listed above. It is understood that any information so obtained will be used solely for the basis of evaluating the extension of credit. Claims arising from invoices must be substantiated within seven (7) calendar days.

Max. file size: 100 MB.
Name(Required)

Once submitted you will be redirected to the authorized payment appliction form