Property Information:

Yes No Yes No
Yes No
Where should your bills be sent? Same as Property Address Billing Address (Enter Below) Mgmt Group
Please direct any inquiries to:
arg@guestsupply.com
Visit our website at:
Fax Completed Application to:
732-647-1163
www.guestsupply.com
Page 1 of 5
City State Zip
Internal ID:
Date of Application Name of Person Completing Application Title
Phone eMail Address
Sysco Guest Supply, LLC
4301 US Hwy One
Name of Property Phone
P.O. Box 902
Monmouth Junction, NJ 08852-0902
TM Name:
Sales ID:
Address1 Adddress2 Fax
Customer ID:
City State Zip County
Number of Rooms Property's Main eMail Address
A/P Manager's Name A/P Manager's Phone A/P Manager's eMail Address
General Manager's Name General Manager's Phone General Manager's eMail Address
Attorney Involved in Closing: Attorney's eMail Address Attorney's Phone
CUSTOMER ACCOUNT APPLICATION
New Construction? If yes, can this site accept mail?
New Owners? If yes, please enter effective date:
For Office Use Only
Address2
Company Name
Address1
Yes No
Yes No
Yes No
Yes No
Does your Management Company own your property? Yes No If yes, effective date:
Proprietorship:
Accounting Manager's Name Accounting Manager's Phone Accounting Manager's eMail Address
Page 2 of 5
Corporation Name Federal Tax ID# (Required in case for refunds)
Is your property managed by a Management/Hospitality Group?
Management/Hospitality Group Information:
Management/Hospitality Group Name
Are you a Distributor?
Primary Contact
Address1 DUNS #
Mobile (Cell) Phone
Are you a Reseller?
Name of Proprietor
Are Purchase Orders required?
Zip State City
eMail Address
Phone
Fax
Home Phone
Federal Tax ID# (Required in case for refunds)
Contact eMail
SS#
City State Zip
Title
Contact Phone
Address1
Address2
Address2
Please complete the appropriate section, below.
Corporation:
City State Zip
http://www.
Ownership Information:
Home Address
Year Corporation Established State of Incorporation Corporate Website
Proprietorship Corporation Limited Liability Co. Other (Specify Below) Proprietorship Corporation Limited Liability Co. Other (Specify Below)
CFO Phone
Fax eMail
City
eMail
Controller Phone
Fax eMail
Phone Fax
Corporate Officers:
Executive VP Phone eMail Fax
President
Managing Member's Name
Address
Zip
eMail Address
SS# or FEIN#
Home Phone
Name of LLC
Mobile (Cell) Phone
Phone Mobile (Cell) Phone
State
Home Address SS#
Limited Liability Company (LLC):
Managing Member's Name eMail Address
eMail Address
City State Zip % of Business
Home Address SS#
City State Zip % of Business
Home Phone Mobile (Cell) Phone
Managing Member's Name eMail Address
% of Business
Home Address SS#
Page 3 of 5
Home Phone Mobile (Cell) Phone
City State Zip
Existing Accounts with Guest Supply: Existing Accounts with Sysco:
Yes No
Yes No
Please specify below: Who should be contacted regarding the above?
Are you interested in receiving your invoices electronically via eMail?
Are you interested in viewing/paying your invoices online?
Tax Exemption Information:
Account#
State Zip
Contact Name Title Phone
Banking / Credit Information:
If your property is TAX EXEMPT, a tax exemption certificate must accompany this application. All Resellers
are required to provide ship-to location information and include tax exempt documentation for these
locations, if applicable. Please upload this exemption certificate, via .pdf format, prior to submitting your
completed application. If you are unable to upload this file, please fax your certificate to 732-647-1163.
Please make sure to include your property name and address.
Once completed and submitted, your application will be reviewed by our corporate credit department. You
will be notified regarding your approval and credit limit.
Trade References:
Please note; completing and submitting this application IS NOT an automatic extension of credit.
Bank Name
Phone
State Zip
Business Name
City
# of Yrs Acct# Name
Address
Name Acct#
Address
# of Yrs
Savings Checking
Business Name
Officer
$
Avg Balance Bank Phone
Page 4 of 5
Customer Acct #
Fax eMail
Phone Account#
City
1)
2)
3)
4)
5)
6)
7)
8)
9)
x
APPLICANT: (FULL FIRM NAME)
x
BY AUTHORIZED AGENT: (PRINTED NAME)
x
APPLICANT: (FULL FIRM NAME)
x
PRINT NAME OF GUARANTOR
Credit Limit Approved by: (Director of Credit - Signature)
Credit Limit Approved by: (Corporate Credit Manager - Signature)
The amount of credit that Applicant requests shall not be binding upon Sysco Guest Supply nor shall Sysco Guest Supply incur liability by granting, reducing, increasing, or
refusing such amount. Applicant hereby certifies that the information furnished under this Application and any other financial statements furnished in connection herewith, is
true and correct and that this information is being furnished to Sysco Guest Supply for the purpose of inducing Sysco Guest Supply to extend credit to Applicant, and
understands that Sysco Guest Supply intends to rely upon such information. Applicant authorizes Sysco Guest Supply to investigate all references furnished pertaining to the
credit and financial responsibility of Applicant. Applicant understands and agrees to be bound by the above terms and all invoices and other documents furnished by Sysco
Guest Supply all of which are incorporated herein by reference, and to advise Sysco Guest Supply of any material change in the information provided herein, including but not
limited to, change of management or ownership. Applicant in all events shall notify Sysco Guest Supply in writing by certified mail of any changes of ownership of Applicant.
Except as to quantity of goods ordered, no terms and conditions set forth in any purchase order, confirmation or other form of Applicant will apply to sales by Sysco Guest Supply to applicant.
Applicant may not assign any relationship with Sysco Guest Supply that arises out of this Application by Applicant without the prior written consent of Sysco Guest Supply which consent may be withheld for any reason. If Applicant is a
corporation or other entity, a transfer or assignment of a majority of the equity interest in Applicant shall be considered an assignment within the meaning of this provision.
If Applicant ceases doing business with Sysco Guest Supply for any reason, Applicant will immediately purchase from Sysco Guest Supply all remaining proprietary/special order items purchased for Applicant in Sysco Guest Supplys
inventory. In addition all open and those potentially unbilled accounts receivable items are due and payable immediately.
Applicant expressly agrees that Sysco Guest Supply shall not be responsible for any product nonconformity as to quantity, quality or price, unless noted on the original delivery receipt at the time of delivery or unless Sysco Guest Supply is
notified in writing of such nonconformity within three (3) days of delivery.
Applicant understands that Sysco Guest Supply will retain this Application whether or not it is approved.
TITLE SIGNATURE & DATE
TERMS AND CONDITIONS
The Customer Account Application (Application) is made to Sysco Guest Supply LLC and each of its respective operating subsidiaries and affiliates (collectively Sysco Guest Supply) for the purpose of inducing Sysco Guest
Supply or any one or more operating subsidiaries or affiliates comprising Sysco Guest Supply (individually, an Operating Company or collectively, Operating Companies) to extend credit accommodations to the applicant named
below, and in accordance with the terms below:
The entire outstanding balance due to Sysco Guest Supply on all invoices shall become due in full immediately upon the failure to pay any invoices when due. Payments are to be rendered by the Applicant for receipt by Sysco Guest
Supply no later than 30 days subsequent to the date of the invoice and as such payment terms are N30 days. Applicant agrees to pay interest in the amount of 1.5% per month, or the highest rate permitted by law, whichever is less, on any
past due amounts until collected, and Applicant agrees to pay all costs of collection incurred by Sysco Guest Supply, including attorneys fees and expenses should a default in payment or any other obligation of Applicant to Sysco Guest
Supply occur. Applicant also agrees to pay a fee of $25.00 or 5% (whichever is greater) per occurrence for any returned items (checks or ACHs) that are dishonored for any reason.
This Application and all transactions between Applicant and Sysco Guest Supply shall be governed by and interpreted in accordance with the laws and decisions of the state where the Operating company which provided this Application is
located, without regard to the conflicts of law provisions thereof and all actions and proceedings arising from, relating to or in connection with the Application shall be subject to the exclusive jurisdiction of any federal or state court located in
said state.
2. All purchases by Applicant of goods and/or services from Sysco Guest Supply will be made in accordance with the terms and conditions of the Application and any distribution agreements, invoices and./or other Sysco Guest Supply
documents evidencing Applicants obligations to Sysco Guest Supply, all of which are incorporated herein by this reference. If Applicant owns a franchise issued by a franchisor or is a member of a group purchasing organization and is
purchasing under and agreement (the Master Agreement) between Sysco Guest Supply and such franchisor or group purchasing organization (as applicable, the Master Organization), Applicant agrees to abide by all obligations and
limitations imposed upon participating purchasers under the Master Agreement. Applicant further agrees that Sysco Guest Supply shall not be responsible for, and Applicant hereby releases Sysco Guest Supply from all loss, damage or
liability arising out of Sysco Guest Supplys compliance with the Master Agreement or any directive or suggestion of the Master Organization including, without limitation, a directive or suggestion by the Master Organization requiring or
suggesting that Sysco Guest Supply cease further sales to Application pursuant to the Master Agreement or further sales of the Master Organizations proprietary product.
If this application is not fully approved or if any other adverse action is taken with respect to Applicant's credit with Guest Supply, Applicant has the right to request within 60 days of Guest Supply's notification of such adverse action, which
statement will be provided within 30 days of said request. To obtain the statement of specific reasons, please contact the credit department of Guest Supply LLC which provided the application. The Federal Equal Credit Opportunity Act
prohibits creditors from discrimination against credit applicants on the basis of race, color, religion, national origin, sex, marital status or age (provided that the applicant has the capacity to enter into a binding contract) because all or part of
the applicant's income derives from any public assistance programs, or because the applicant in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law
concerning the creditor is the Federal Trade Commission, Washington DC.
1. Upon approval of this Application, Sysco Guest Supply in its sole discretion and notwithstanding any request of Applicant, shall have the right to terminate Applicants credit privileges under this Application at any time without prior notice to
applicant, except as otherwise provided by law.
For Sysco Guest Supply Use Only
Account Approved for Credit? Credit Limit Approved:
INDIVIDUAL PERSONAL GUARANTEE (Required for Sole Proprietorship Only)
The undersigned (Guarantor), having a financial interest in Applicant, and benefiting from the transactions contemplated by this Application, hereby personally guarantees the payment by Applicant to Sysco Guest Supply LLC
and each of its respective subsidiaries of all amounts due and owing now and from time to time hereafter from Applicant to Sysco Guest Supply. Guarantor expressly waives notice from Sysco Guest Supply of its acceptance and
reliance on this Guarantee, notice of sales made to Applicant, and notice of default by Applicant. The obligations of Guarantor hereunder shall not be affected, excused, modified or impaired upon the happening, from time to time,
of any event. No set-off, counterclaim or reduction of any obligation, or any defense of any kind or nature which Guarantor has or may have against Applicant or Sysco Guest Supply shall be available hereunder to Guarantor
against Sysco Guest Supply.
In the event of a default by Applicant on its obligations to Sysco Guest Supply may proceed directly to enforce its rights hereunder and shall have the right to proceed first against Guarantor, without proceeding with or exhausting
any other remedies. Guarantor hereby waives and relinquishes any rights of indemnification, contribution, reimbursement or exoneration which may be asserted against Applicant if Guarantor performs his or her obligations under
this guarantee and Guarantor understands the benefit of such rights. Guarantor agrees to pay all fees, costs and expenses, including reasonable attorneys fees which may be incurred by Sysco Guest Supply in enforcing this
Guarantee or protecting its rights following any default on the part of the Guarantor. This Application and all transactions between Applicant and Sysco Guest Supply shall be governed by and interpreted in accordance with the
laws and decisions of the state where the Operating company which provided this Application is located, without regard to the conflicts of law provisions thereof and all actions and proceedings arising from, relating to or in
connection with the Application shall be subject to the exclusive jurisdiction of any federal or state court located in said state.
SOCIAL SECURITY NUMBER SIGNATURE & DATE
Date
Date
Page 5 of 5
Account Approved for Cash in Advance? Account Not Approved?