Savory Gourmet Catalog February 2021 small

CONFIDENTIAL CREDIT APPLICATION
Savory Gourmet, Inc. / Petrovich Caviar, Inc.
13720 S. Gramercy Pl.
Gardena, CA 90249
Phone: (310) 391-5422 | Fax: (310) 572-4452
ALL ORDERS ARE C.O.D. UNTIL YOUR
ACCOUNT IS APPROVED
BILLING INFORMATION
BUSINESS NAME:___________________________________________________________________ PH#: _________________________
BILLING ADDRESS: _________________________________________________________________ FAX#: ________________________
CITY: __________________________________________ STATE: ________________________________ ZIP: ________________________
DATE ESTABLISHED:___________________________ PRESENT LOCATION SINCE: __________________________________________
CORPORATION
PARTNERSHIP
SOLE PROPRIETOR
LLC
IF CORPORATION, DATE & STATE OF INCORPORATION: ______________________________________ FEDERAL ID#: ______________________________________
PARENT COMPANY:__________________________________________________________________________ PH#:_________________________________________________
ADDRESS: ____________________________________ CITY:_____________________________________________ STATE: _____________ ZIP: ____________________________
ACCOUNTS PAYABLE CONTACT: _________________________________ PH#: ______________________ FAX#: ________________________________________________
EMAIL:_______________________________________________________________________________________
SHIPPING INFORMATION
SHIPPING ADDRESS: ____________________________________________ CITY: ___________________________________ STATE: ___________ ZIP:_________________
CONTACT: ________________________________________________________ PH#: _______________________ EMAIL: _______________________________________________
PRINCIPAL OWNERS OR OFFICERS
1 NAME: _________________________________________________________ POSITION: _________________ SS#: _________________________________________________
RESIDENTIAL ADDRESS: _________________________________________________________________________________________________________________________
OWN RENT PH#: EMAIL:________________________________________________________________
2 NAME: _________________________________________________________ POSITION: _________________ SS#: _________________________________________________
RESIDENTIAL ADDRESS: _________________________________________________________________________________________________________________________
OWN RENT PH#: EMAIL:________________________________________________________________
FINANCIAL INSTITUTION
BANK NAME: _____________________________________________________ PH#: _______________________ ACCOUNT#:__________________________________________
ADDRESS: ___________________________________________________________________________________ CONTACT PERSON:_________________________________
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