Customer Form | 4P Foods - Buyer's Portal

Business Information

DBA *

Commonly used trading name.

Legal Business Name *

As on tax returns.

Tax ID (FEIN or SSN) *

Website

Buyer Information / Online Ordering Portal Access

Buyer Contact Name *

For communications with our team related to placing orders and product availability.

Buyer Contact Email *

Buyer Office Phone

Please provide at least one Buyer Phone number so we can communicate via phone on any urgent order topics.

Buyer Mobile Phone

Delivery Information

Delivery Address *

If this address is incorrect, please contact your contact at 4P to have it changed. You cannot edit it in this form.

Receiving Contact Name *

Contact for our driver should there be any issues at the point of delivery.

Receiving Contact Phone *

Can you receive deliveries in our standard times? *

Yes

Our standard delivery times are between 6am-6pm, Monday - Friday.

Days we can receive deliveries *

Monday

Tuesday

Wednesday

Thursday

Friday

Earliest delivery time *

Latest delivery time *

Delivery Instructions

Should our driver deliver around back? Should they come through a certain gate or approach a certain dock or door? If you are not on site to receive, can our driver leave the order at the door or in a walk in cooler? What is the code to enter the building? Any / all extra detail is encouraged!

Accounting & Tax

Billing address is the same as delivery address?

Accounting contact is the same as Delivery contact?

Yes

Are your purchases for resale and therefore exempt from state sales tax? *

Yes

Do your orders require your PO number included on the Sales Order? *

Yes

Bank & Trade References

Your bank or a vendor you buy from that can speak to your credit and / or payment history.

Reference 1 Name *

Reference 1 Email *

Reference 1 Phone *

Reference 2 Name *

Reference 2 Email *

Reference 2 Phone *

Agreement

1. Standard payment terms are NET 15 for all invoices. Any other terms must be requested with our sales team and approved by 4P Foods’ accounting department. All invoices must be paid within the payment terms outlined on your invoice.

2. By submitting this application, you authorize 4P Foods, Inc. PBC to make inquiries into the banking and business/trade references that you have supplied.

I have read and agree to the terms above *

Signature *

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