Embed Size (px)
Citation preview
Selina Naturally® Celtic Sea Salt® Brand - Restaurant/Ingredient Account Application
Please note: In order to process your application, a signature must be provided and all fields must be filled in. Use N/A if question does not apply. Along with this form, a completed contract is also required.
The credit application is only required if you are applying for Credit Terms with us. ** Restaurant/Ingredient products are sold in bulk or full case quantities only**
COMPANY INFORMATION
COMPANY NAME CO-PACKER NAME (IF APPLICABLE)
EMAIL WEBSITE
PHONE NUMBER FAX NUMBER
BILL TO ADDRESS CITY
STATE ZIP COUNTRY
SHIP TO ADDRESS 1 CITY
STATE ZIP COUNTRY
DELIVERY HOURS RECEIVER/WAREHOUSE CONTACT CONTACT PHONE
SHIP TO ADDRESS 2 CITY
STATE ZIP COUNTRY
DELIVERY HOURS RECEIVER/WAREHOUSE CONTACT CONTACT PHONE
SHIP TO ADDRESS 3 CITY
STATE ZIP COUNTRY
DELIVERY HOURS RECEIVER/WAREHOUSE CONTACT CONTACT PHONE
®home of CELTIC SEA SALT® BRAND
4 Celtic Drive Arden, NC 28704 - 888.353.0030 - fax 828.654.0529
PREFERRED CARRIER CARRIER ACCOUNT NUMBER (IF APPLICABLE)
RESTAURANT ADDRESS 1 CITY
STATE ZIP COUNTRY
RESTAURANT ADDRESS 2 CITY
STATE ZIP COUNTRY
RESTAURANT ADDRESS 3 CITY
STATE ZIP COUNTRY
BUSINESS STRUCTURE CORPORATION LLC SOLE PROPRIETORSHIP
OWNER NAME (IF SOLE PROPRIETORSHIP)
TAX ID
BUYER’S NAME BUYER’S PHONE
ACCOUNTS PAYABLE CONTACT ACCOUNTS PAYABLE PHONE
VENDOR NUMBER
CURRENT BROKER/BROKER GROUP (IF APPLICABLE)
®home of CELTIC SEA SALT® BRAND
4 Celtic Drive Arden, NC 28704 - 888.353.0030 - fax 828.654.0529
HOW WILL YOU BE USING OUR PRODUCTS?
INGREDIENT IN PRODUCT FOR RETAIL SALES
INGREDIENT IN PRACTICE
INGREDIENT RESTAURANT FOOD
FOR USE IN SHAKERS ON RESTAURANT TABLES
IF YOU WILL BE USING AS AN INGREDIENT, PLEASE LIST RELEVANT PRODUCTS/BRANDS
PRODUCT/BRAND PRODUCT/BRAND
PRODUCT/BRAND PRODUCT/BRAND
PRODUCT/BRAND PRODUCT/BRAND
ARE YOU INTERESTED IN CO-BRANDING?
YES NO
PRINTED NAME
SIGNATURE DATE
Please note: We do not allow for the repackaging of any Celtic Sea Salt® products.
For Restaurants:
- Celtic Sea Salt® Brand must be used in only approved grinders and shakers – Celtic Sea Salt® may not be used in metal grinders or grinders with any metal parts.
- If advertising Celtic Sea Salt® Brand, the registered trademark symbol ® must be used. - Wholesale pricing will be quoted for all items purchased for resale. - Door and menu stickers are available to advertise that you use Celtic Sea Salt Brand® salt
exclusively.
For Ingredient:
- If your brand lists Celtic Sea Salt® in the list of ingredients on the label – the ® must be used after the Celtic Sea Salt® brand name.
- We must have a label of each product sent to us for our records.
®home of CELTIC SEA SALT® BRAND
4 Celtic Drive Arden, NC 28704 - 888.353.0030 - fax 828.654.0529
YES NO
Would you like us to add your company to our online Celtic Sea Salt® “brand user”/store locator webpage? If you are a Restaurant account, this will allow customers in your area to know that you use Celtic Sea Salt® in your recipes. For Ingredient accounts, your product and or logo only will appear on a webpage of“Made with Celtic Sea Salt®” items!
