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Business Information
Business Name
Address
Address Continued

City          State         Zip Code
Phone Number    Ext.    Fax Number

Description of Business
Number of Employees (Approximate)
Type of Business
Year Business Started     Federal Tax ID

Is your business a
Name of Parent Company, if applicable
Number of Years Parent Company in Business, if applicable


Contact Information
Contact Person
Title
   Phone Number    Ext.  
Email Address
Please list all Authorized Users in the box below.


Bank Reference
Name of Bank
Contact Name
Branch Name, if applicable
Checking Account Number
Address

City          State         Zip Code
Phone Number    Fax Number


Trade Reference
Please include 3 references with company name, contact name, phone number and extension.


Account Information

Sparks Florist House Accounts are offered on a net-30-days basis only, unless agreed to in writing by an authorized Sparks Florist officer. This means that all charges that appear on your company’s billing statement are fully due and payable on or before 30 days of the billing statement date. Unpaid balances are thereafter subject to a $5.00 rebilling fee each time a rebilling is made. At its sole option, Sparks Florist may elect to transfer any unpaid balance to your company credit card for payment in full.

Click here to indicate that you are authorized by your company to open a Sparks Florist House Account according to the terms stated in the preceding paragraph.

Click here to indicate that you understand that Sparks Florist will, and that your company hereby agrees to allow Sparks Florist to, charge your company credit card in the event your company’s Sparks Florist House Account becomes past-due.

Card Type
Issuing Bank
Account Name (as it appears on the card)
Account Mailing Address
City          State         Zip Code
Account Number
Expiration Date
Authorized Users


Click here to indicate that you are authorized by your company to open a Sparks Florist Credit Card Account and are authorized to make charges on this account.



 

 
 

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