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

Buying Portal Access / Buyer

Buyer Contact Name *

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

Buyer Contact Email *

Buyer Office Phone

Buyer Mobile Phone

Delivery Information

Delivery Address *

Receiving Contact Name *

Contact for our driver to reach out to 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

If you are not on site to receive, can our drive leave the order at the door or in a walk in cooler? What is the code to the walk in cooler? Should our driver deliver around back? Any/all extra detail is encouraged!

Accounting & Tax

Billing same as delivery address

Buyer Contact is the same as Receiving Contact

Yes

Are your purchases 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 term is NET 15 for all invoices. Any other term 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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