How to Order

H & L Wholesale Food Corporation
Business Application

Date of Application: 06/01/2023
1. Your Business' Information
Business Name:
Contact Person:
Address:
City:
State/Province:
Postal Code:
Business Phone:
Email:
Entity Type:
Year Established
Type of Business:
Federal Tax ID:
Referred By:
2. Payments
How will you pay for goods?*
- At time of service (Cash, Credit Card, Check)
- By Term (ie. NET10, NET30)
Please Enter Your Trade References:

Trade References could be businesses that you currently buy from. If you are a new business and have no trade references, enter in N/A .
Business Reference #1
Name:
Contact Person:
City:
Phone:
State:
Fax:
Business Reference #2
Name:
Contact Person:
City:
Phone:
State:
Fax:
Business Reference #3
Name:
Contact Person:
City:
Phone:
State:
Fax:
3. Reseller Permit/Business License
Please attach your reseller permit or business license along with this form submission. We only allow files ending in jpeg, jpg, png, gif, tif, or tiff. (2MB file size max)
Attach
We declare that the above information is true, correct and complete and is given to induce the Company to extend credit. We authorize the Company to make such credit investigation as the Company sees fit, including contacting the above trade references and banks and obtaining credit reports. We authorize all trade references, banks and credit reporting agencies to disclose to the Company any and all information concerning the financial and credit history of my company and myself. I have read the terms and conditions stated below and agree to all of those terms and conditions.
- I agree to the Terms and Conditions
4. Individual Personal Guarantee For Extending Business Credit
Name of Guarantor
Residing at (Address)
Guarantor's Company
(hereinafter referred to as the "company"), of which I am (title)
hereby personally guarantee to you the payment to H & L Wholesale Food Corporation, in the state of California any obligation due by the company. I hereby agree to bind myself to pay you on demand any sum which may become due to you by the company whenever the company shall fail to pay the same. It is understood that this guarantee shall be a continuing and irrevocable guarantee and indemnity for such indebtedness of the company. I do hereby waive notice default, non-payment and notice hereof and consent to any modification of renewal of credit agreement herby guarantee.
5. Electronic Signature
First Name:
Last Name:
Email:
Confirm Email:

H & L Wholesale Food Corporation Business Application

1. Your Business' Information

2. Payments

3. Reseller Permit/Business License

4. Individual Personal Guarantee For Extending Business Credit

5. Electronic Signature

H & L Wholesale Food Corporation
Business Application