Credit Application

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Aloha Produce of Central Oregon Credit Application

Business & Personal Information
Type of Legal Entity*
Length of Time in Business (in years)
If Less than 1 Year, Please Give Previous Business Name & Address
Social Security Number
Federal Tax ID
Partner or Sole Proprietor Name
First Last
Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home or Cell Phone
Social Security Number
Spouse's Name (if applicable)
First Last
Real Property Address
Street Address Address Line 2 City State ZIP Code
Partner Name
First Last
Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home or Cell Phone
Social Security Number
Spouse's Name (if applicable)
First Last
Real Property Address
Street Address Address Line 2 City State ZIP Code
Applicant's Name*
First Last
Business/Organization Name*
Physical Address*
Street Address Address Line 2 City State ZIP Code
Billing Address (If different than Physical Address)
Street Address Address Line 2 City State ZIP Code
Business Phone*
Fax (if applicable)
Email*
Banking Information
Bank Name*
Bank Branch*
Bank Address*
Street Address Address Line 2 City State ZIP Code
Bank Phone*
Credit References
Name Credit Reference #1*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Name Credit Reference #2*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Name Credit Reference #3*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Accounts Payable Information
Accounts Payable Contact*
First Last
A/P Phone*
A/P Email*
Applicant Agreement
WE (APPLICANT) HEREIN MAKE APPLICATION TO ALOHA PRODUCE OF CENTRAL OREGON, INC. (HEREINAFTER “ALOHA”) FOR JOB CREDIT AND/OR TO UPDATE AND RECONFIRM OUR EXISTING ACCOUNTS AND BALANCES WITH SAME. WE AGREE TO PROVIDE ALOHA WITH A CURRENT FINANCIAL STATEMENT IF REQUESTED. IF CREDIT IS GRANTED, WE PROMISE TO PAY FOR ALL PRODUCTS AS SET FORTH IN THE APPLICANT'S INVOICE. SHOULD CREDIT PRIVILEGES BE DENIED, WE HAVE THE RIGHT TO KNOW WHY. WE UNDERSTAND THAT ALL BILLING, ACCOUNTS RECEIVABLES, AND CREDIT FUNCTIONS ARE PROCESSED THROUGH COMPANY HEADQUARTERS IN BEND, DESCHUTES COUNTY, OREGON. WE GIVE PERMISSION TO ALOHA AND/OR ITS AGENTS TO OBTAIN CREDIT BUREAU REPORTS ON APPLICANT'S AND GUARANTORS AND TO VERIFY AND/OR SUPPLEMENT THE INFORMATION PROVIDED HEREIN AND TO CONTINUE TO DO SO FROM TIME TO TIME IN ORDER TO UPDATE THE CREDIT FILE AND FOR THE PURPOSES OF COLLECTION. WE HEREBY AUTHORIZE OUR BANK TO RELEASE INFORMATION TO ALOHA, OR ITS REPRESENTATIVES. APPLICANT AGREES THAT THE PRINCIPAL BALANCE OF EVERY INVOICE SHALL BE DUE AND PAYABLE ON THE TENTH (10) DAY OF THE MONTH FOLLOWING DELIVERY OF THE PRODUCTS. WHETHER SUIT OR ARBITRATION IS COMMENCED OR NOT, WE PROMISE TO PAY A REASONABLE ATTORNEY FEES INCURRED BY ALOHA TO ENFORCE THE TERMS HEREOF, AND IF COMMENCED, THEN THOSE ATTORNEY'S FEES INCURRED AT ARBITRATION OR TRIAL AND ON ANY APPEAL, REVIEW, OR RECONSIDERATION THEREOF, INCLUDING ALL ATTORNEY FEES AND COSTS IN ANY BANKRUPTCY PROCEEDING. THIS AGREEMENT SHALL BE CONSIDERED TO HAVE BEEN MADE IN THE STATE OF OREGON, AND WILL BE INTERPRETED IN ACCORDANCE WITH THE LAWS OF THE STATE OF OREGON. WE AGREE THAT THE COURTS OF OREGON HAVE PERSONAL JURISDICTION OVER US AND SUBJECT MATTER JURISDICTION OVER THIS AGREEMENT, AND PROPER VENUE IS IN DESCHUTES COUNTY, OREGON, OR AT THE OPTION OF ALOHA, ANY OTHER STATE OR FEDERAL COURT THAT HAS PERSONAL AND SUBJECT MATTER JURISDICTION OVER THE APPLICANT OR GUARANTOR AND MATTER, RESPECTIVELY. ALL DELINQUENT ACCOUNT BALANCES SHALL ACCRUE LATE CHARGES AT THE RATE OF 1.5% PER MONTH (18%) PER ANNUM, UNTIL PAID IN FULL.
Electronic Signature*
I, the applicant for this credit application, warrant the truthfulness of the information provided in this application. I understand that typing my name in this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms and Conditions.
First Last
Title*
Date*
Date Format: MM slash DD slash YYYY
Electronic Signature*
I, the applicant for this credit application, warrant the truthfulness of the information provided in this application. I understand that typing my name in this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms and Conditions.
First Last
Title*
Date*
Date Format: MM slash DD slash YYYY
Absolute Unlimited Guarantee
FOR VALUE RECEIVED, THE UNDERSIGNED JOINTLY AND SEVERALLY HEREBY ABSOLUTELY AND UNCONDITIONALLY GUARANTEE THEIR PERFORMANCE OF THE PAYMENT OF ALL SUMS OWING TO ALOHA FROM APPLICANT, AS PROVIDED ABOVE, INCLUDING BUT NOT LIMITED TO LATE CHARGES AND REASONABLE ATTORNEY'S FEES. THE LIABILITY OF THE UNDERSIGNED FOR PERFORMANCE OF APPLICANT'S AGREEMENT FOR PAYMENT OF ALL SUMS OF MONEY REFERRED TO IN THE APPLICANT'S AGREEMENT SHALL NOT BE AFFECTED BY: (1) ANY INDULGENCE, COMPROMISE, SETTLEMENT, EXTENSION, OR VARIATION OF THE TERMS GRANTED BY ALOHA TO APPLICANT; OR (2) BY SURRENDER, EXCHANGE, RELEASE, OR ALTERATION OF COLLATERAL HELD BY ALOHA OR ITS ASSIGNS FOR THE OBLIGATIONS HEREBY GUARANTEED, OR (3) BY ANY DISCHARGE OR RELEASE OF ANY OBLIGATIONS OF THE APPLICANT, OR ANY OTHER PERSON BY OPERATION OF LAW OR OTHERWISE. IT IS UNDERSTOOD AND AGREED THAT ALOHA WOULD NOT HAVE ENTERED INTO THE AGREEMENT WITH APPLICANT IF THE UNDERSIGNED GUARANTOR HAD NOT AGREED IN ADVANCE TO SIGN THIS GUARANTY, AND THAT THE APPLICANT AGREEMENT AND THIS GUARANTY WERE INTENDED AS A PART OF A SINGLE TRANSACTION. SHOULD THERE BE ANY DEFAULT ON THE APPLICANT AGREEMENT, ALOHA SHALL HAVE THE RIGHT TO PROCEED IMMEDIATELY AGAINST THE UNDERSIGNED GUARANTOR, WITHOUT ANY DEMAND OR NOTICE OF ANY KIND OR CHARACTER, AND WITHOUT FIRST PROCEEDING AGAINST APPLICANT OR ANY COLLATERAL. GUARANTOR AGREES THAT THE COURTS OF OREGON HAVE PERSONAL JURISDICTION OVER GUARANTOR AND SUBJECT MATTER JURISDICTION OVER THIS GUARANTY AGREEMENT AND IF THIS IS A GUARANTY OF A COMMERCIAL OBLIGATION, THAT PROPER VENUE IS IN DESCHUTES COUNTY, OREGON, OR AT THE OPTION OF ALOHA, ANY OTHER COURT THAT HAS PERSONAL AND SUBJECT MATTER JURISDICTION OVER THE APPLICANT OR GUARANTOR AND MATTER , RESPECTIVELY.THIS GUARANTY SHALL BE CONSIDERED TO HAVE BEEN MADE IN THE STATE OF OREGON AND SHALL BE INTERPRETED IN ACCORDANCE WITH THE LAWS OF THE STATE OF OREGON. GUARANTOR AGREES UPON DEMAND, TO PAY AND REIMBURSE TO ALOHA, ALL COST AND ATTORNEY'S FEES, AND WHERE APPLICABLE, ADMINISTRATIVE AND ARBITRATOR FEES AND EXPENSES WHICH ALOHA EXPENDS OR INCURS IN CONNECTION WITH THE COLLECTION OF ANY SUM GUARANTEED OR IN THE ENFORCEMENT OF THIS GUARANTY AGAINST GUARANTOR BOTH AT TRIAL AND ON APPEAL, INCLUDING ATTORNEY'S FEES AND COSTS INCURRED IN ANY BANKRUPTCY PROCEEDING.
Electronic Signature*
I, the applicant for this credit application, warrant the truthfulness of the information provided in this application. I understand that typing my name in this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms and Conditions.
First Last
Home Address*
Street Address Address Line 2 City State ZIP Code
Social Security Number*
Electronic Signature*
I, the applicant for this credit application, warrant the truthfulness of the information provided in this application. I understand that typing my name in this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms and Conditions.
First Last
Home Address*
Street Address Address Line 2 City State ZIP Code
Social Security Number*

Want to pay C.O.D.? No problem. Click the button below to download our C.O.D. account form.

Aloha Produce of Central Oregon Credit Application

Business & Personal Information

Banking Information

Credit References

Accounts Payable Information

Applicant Agreement

Absolute Unlimited Guarantee