Customer Profile Form

Thank you for considering So^Bella as your supplier. In order to open an account for your company, please complete this form. All information will he held in strict confidence and only for reference purposes within our commercial department.

Business Contact Information

So^Bella Flowers

Your Title

Your Phone Number

Your Company E-mail Address

Main Company Executives

Company name

*TAX ID

Your Fax Number

Your Address

Zipcode:

Your Full Name

City:

E-mail address:

Country:

Date business commenced:

Sole proprietorship:

Corporation

Partnership:

Other

Business and Credit information

Primary business address

Business Zipcode

Business City:

Your Phone Number

Fax:

E-mail address:

Business Country:

How long at current address:

Bank name:

Bank Phone Number:

Bank address:

Bank Zipcode:

Bank City

Bank Country

Account number:

Type of account:

Checking account

Savings account

Invoice and Accounts Payable Information

Invoices sent to:

Contact name 1:

E-mail Contact 1:

Phone Number Contact name1

Contact name 2:

E-mail Contact 2:

Phone Number Contact name 2

Accounts Payable contact 1:

E-mail Accounts Payable 1

Phone Number Payable 1

Accounts Payable contact 2:

E-mail Accounts Payable 2

Phone Number Payable 2

Business/trade references

Reference 1

Country Reference 1:

Company Name Reference 1

Phone Number Reference 1

Contact Person Reference 1

E-mail address Reference 1

Reference 2

Country Reference 2:

Company Name Reference 2

Phone Number Reference 2

Contact Person Reference 2

E-mail address Reference 2

Reference 3

Country Reference 3

Company Name Reference 3

Phone Number Reference 3

Contact Person Reference 3

E-mail address Reference 3

Freight Companies References

Country Freight Reference

Company Name Freight Reference

Phone Freight Reference

Contact Person Freight Reference

E-mail address Freight Reference

Terms of Sales

The undersigned (Customer) agrees to the following terms of sale:
1. The Customer accepts responsibility for product under the terms of FOB Quito negotiation.
2. The Customer agrees to pay for invoices, less credit accepted by So^Bella with in the credit terms, unless otherwise mutually agreed upon.
3. Credits will be revised under the following terms: credit will have to be sent with in the 7 days from invoice date.
Pictures of product and bar codes will have to accompany the credit for revision.
4. The Customer will reimburse Ubiquity Distributors for any bank fees Ubiquity receives for checks the Customer bounces.
5. The Customer agrees on legal venue for the resolution of any billing disputes.
6. The Customer agrees to pay for any expenses Ubiquity Distributors incurs in collecting unpaid debt, including lawyers fees, collection agent fees and court costs.
7. By signing below, the Customer authorizes us to periodically obtain credit reports for the purpose of establishing, investigating, or maintaining a credit relationship with them.

Title 1:

Signature

Date

Title 2:

Signature

Date

Customer Profile Form

Business Contact Information

So^Bella Flowers

Business and Credit information

Invoice and Accounts Payable Information

Business/trade references

Freight Companies References

Terms of Sales

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Customer Profile Form

Business Contact Information

So^Bella Flowers

Business and Credit information

Invoice and Accounts Payable Information

Business/trade references

Freight Companies References

Terms of Sales

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KEEP ME UP TO DATE!

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