Print then fax this application to Waiter On The Run At: (516) 484-8535. We will then contact you in in 2-3 business days.

Corporate / Businesss Account Application

General Information Applicant Legal Name:_________________________________ aka or d/b/a:__________________________________________ Address:_____________________________________________ City/State/Zip:________________________________________ Phone ( )_______________ Fax ( )__________________ Contact:_____________________ Title:___________________ Business Type [ ] Corporation [ ] Partnership [ ] Proprietorship Federal Tax or Social Security ID:________________________ Time in Business: ___ Year ___ Month TAX EXAMPT [ ] Nature of Business:____________________________________	Trade/Credit References Company 1 Name:_________________________________ Address:_________________________________________ City/State/Zip:____________________________________ Phone ( )_____________ Fax ( )________________ Contact:_________________________________________ Company 2 Name:_________________________________ Address:_________________________________________ City/State/Zip:____________________________________ Phone ( )_____________ Fax ( )________________ Contact:_________________________________________
Billing Information [ ] Same as Above Send Invoice To:______________________________________ Address:_____________________________________________ City/State/Zip:________________________________________ Deposit: $ . [ ] Visa [ ] M/C [ ] AMEX [ ] Discover [ ] Diner [ ] Check Check/Credit Card #______________________ Exp.___/_____ Name on Card:_______________________________________	Bank Reference Bank Name:______________________________________ Address:_________________________________________ City/State/Zip:____________________________________ Phone ( )_____________ Fax ( )________________ Contact:_________________________________________ Checking Acct. #:_________________________________ Savings Acct. #:__________________________________
Credit and Billing Terms Applicant represents that the foregoing information contained in this Credit Application is true and correct and that the undersigned authorizes the release of Applicant’s credit history information as requested by WaiterOnTheRun (WOTR). Applicant hereby agrees to pay for goods or services and interest at 1.5% rate per month on all overdue accounts exceeding 15 days and agrees to all reasonable legal and/or collection fees incurred by WOTR to secure payment for any past due amounts. This contract and all subsequent purchases are deemed made payable at seller’s Corporate Office as noted above. It is further understood and agreed that WOTR may, at its sole discretion, reject or approve this Credit Application. Applicant: X__________________________________________________________________________ Signature Print Name Title Date
Office Use Only: Submitted By & Date:____________________ Approved By:____________ Credit Limit:____________ Comments:____________________________________________________________________________________________