Royal Coffee New York, Inc.
Send your completed application to the address on page four of this document.
Credit Application
Company Name:_________________________
Phone:____________
Street Address: _________________________ Fax:______________
City: _________________________ State: __________ Zip: _______
Billing Address (If Different From Above): _______________________
City: _________________________ State: __________ Zip: _______
E-Mail:____________________ Credit Line Sought: ______________
Company is a: (please circle one)
Corporation Partnership Proprietorship L.L.C. P.L.C.
Corporate Registration No: _______________ V.A.T. No: __________
Annual Sales: __________ # of years in business ______
Are Financial Statements Available? (please circle one) YES NO
Company Directors / Officers / Principal
Name 1: ______________________________ Title: _______________
Home Address: _________________________ Phone: _____________
City/State/Zip: _____________________________________________
Name 2: ______________________________ Title: _______________
Home Address: _________________________ Phone: _____________
City/State/Zip: _____________________________________________
Name 3: ______________________________ Title: _______________
Home Address: _________________________ Phone: _____________
City/State/Zip: _____________________________________________
Banking Details
Bank Name: _______________________ Account #: ______________
Branch Address: ___________________________________________
City/State/Zip: _____________________________________________
Bank Contact Name: _____________________ Phone: ____________
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Royal Coffee New York, Inc.
Trade
Vendor 1: _______________________ Contact: __________________
Payment Address: __________________________________________
City/State/Zip: _____________________________________________
Phone #: ____________ Fax #: ____________ Account #: __________
Vendor 2: _______________________ Contact: __________________
Payment Address: __________________________________________
City/State/Zip: _____________________________________________
Phone #: ____________ Fax #: ____________ Account #: __________
Vendor 3: _______________________ Contact: __________________
Payment Address: __________________________________________
City/State/Zip: _____________________________________________
Phone #: ____________ Fax #: ____________ Account #: __________
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Royal Coffee New York, Inc.
Conditions
Terms of sale, including terms of payment and charges, for each purchase are agreed to be those specified on the face of each invoice. The customer hereby agrees to pay all costs of collection or legal fee should such action be necessary due to non-payment. The above information is willingly supplied and the creditor is authorized to contact the above bank and trade references in order to establish the credit worthiness of the above named company. If the applicant is not a corporation, the creditor is authorized to obtain credit reports on the proprietors, partners, or principals. Should a credit availability be granted by the creditor, all decisions with respect to the extension or continuation shall be in the sole discretion of the creditor. The creditor may terminate any credit availability within its sole discretion.
A finance charge of 1½ % per month (18% annual percentage rate) will be added to past due accounts. Purchaser agrees that title to merchandise shall remain in seller's name until fully paid and to apy all costs. A $25.00 charge will be assessed for returned checks.
DISPUTES: Any dispute or controversy arising from this agreement will be resolved by arbitration by the Americann Arbitration Association at Orange County California. The language of the arbitration shall be English. The number of arbitrators shall be one. The parties agree the American Arbitration Association's expedited rules shall apply and they waive all right to any hearing requiring witness production. The arbitrator shall issue and award based upon the written documentary evidence supplied by the parties. The arbitrator's award shall be binding and final. The losing party shall pay all arbitration expenses, including all attorney's fees.
I HAVE READ AND UNDERSTAND THE ABOVE TERMS AND CONDITIONS, AND HEREBY AGREE TO THEM:
Applicant's Name: _________________________ Title _____________
Date: _______________ Applicant's Signature: ____________________
I AUTHORIZE THE SELLER AND THEIR ASSIGNS TO OBTAIN A CONSUMER CREDIT REPORT ON MY CREDIT HISTORY.
Date: _______________ Applicant's Signature: ____________________
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Royal Coffee New York, Inc.
Personal Guarantee
The undersigned, for consideration do hereby individually and personally guarantee the full and prompt payment of all indebtedness heretofore or hereafter incurred by the above business. This guarantee shall not be affected by the amount of credit extended or any change in the form of said indebtedness. Notice of the acceptance of this guarantee, extension of credit, modification in terms of payment, and any right or demand to proceed against the principal debtor is hereby waived. This guarantee may only be revoked by written notice which shall be sent to the creditors credit office by certified mail. Any revocation does not revoke the obligation of the guarantors to provide payment for indebtedness incurred prior to the revocation. I authorize the seller and their assigns to obtain a consumer credit report and to contact my references as necessary. As guarantor, I am also bound by the above arbitration clause.
Guarantor's Name: ____________________ Signature: _____________
Home Address: ____________________________________________
City/State/Zip: _____________________________________________
Date: _______________ Tax I.D. or S.S. No: ____________________
Guarantor's Name: ____________________ Signature: _____________
Home Address: ____________________________________________
City/State/Zip: _____________________________________________
Date: _______________ Tax I.D. or S.S. No: ____________________
Royal Coffee New York, Inc.
239 Western Ave.
Staten Island, NY 10303
Tel: 1-888-ROYALNY Fax: 1-718-815-4363
Email: tradingdesk@royalny.com
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