FORMS

Toll Free: (800) 307-0314

Accounting@Monsterrosefarms.com

PHONE: (305) 705 -3495
FAX: (305) 407-1762

Application

Legal Status: Proprietorship Corporation LLC Partnership
Company Name:
DBA:
Address:
Officer/Owners Name:
City:
Years in Business:
State: Zip: Telephone #:
Bankruptcy: Yes No
Fax #/E-mail:
Business Property Owned Leased From:
Business Type: Retail Wholesale Fed.
Tax ID#:

References for Commercial Use

(Please list 3 Cut Flower Firms from whom you are buying on an open account basis Non-Miami Based references will prolong granting of credit decision.)

No Transportation or Hard goods Suppliers

  • Name
    City/State
    Telephone1

Bank References

Name of Bank: Account #:
City/State: Branch:
Name of Officer: Telephone #:


All amounts not paid within 30 days shall be considered past due. A monthly finance charge in the amount of 1 ½ percent per month will be added to all past due amounts. In the event it becomes necessary for Monster Rose Farm LLC to employ an attorney or collection agent, whether suit be brought or not, the Principal hereunder and all Guarantors agree to pay all reasonable costs or collection, including, but not limited to, court costs, filing fees and reasonable attorney fees at trial, including any appeals. It is agreed that this credit application and any obligations and agreements arising here from shall be governed by and construed in accordance with the laws of the State of Florida and Miami-Dade County of Florida shall be the place of venue for all actions against the Principal and/or Guarantor.




Name of Corporate Officer (Please Print)

Signature

Date



Name of Corporate Officer (Please Print)

Signature

Date


AIRPORT / TRUCKING LINE: ACCT #
HOW DID YOU HEAR ABOUT US?
SHIPPING DAY’S: M T W R F S SU

Claim policy/ Credit Procedure

All Sales are FOB Miami and Monster Rose Farm LLC, accepts no liability for damage in transit. Title and ownership are passed from Monster Rose Farm LLC, to the buyer when the flowers are delivered to the customer’s designated carrier.

Any credit request must be called in to your appropriate sales representative immediately and followed up in writing within 24 hours of receipt of product via fax to 305-407-1762. Monster Rose Farm LLC. is not responsible for any carrier related issues and is not responsible for processing any claims due to carrier related issues. Any problems between the customer and the carrier must be handled solely between both parties. If a problem is to arise with any shipment regarding quality, the vendor holds the right to request pictures to begin the process of a credit. Customer cannot destroy or process any product without written consent from Monster Rose Farm LLC if a claim is being placed. Monster Rose Farm LLC reserves the right to request the product to be shipped back at company’s expense in its original packing.

Claims are not automatic and their validity is thoroughly investigated prior to the approval by Monster Rose Farm LLC management team.

Invoices WILL NOT be credited if customer has disposed of product without the approval of a Monster Rose Farm LLC

Under no circumstances will a claim be accepted unless it is in accordance with all the above requirements.

The undersigned agrees with the above requirements.

SIGNATURE

PRINT NAME

PRINT TITLE
DATE


Declaration

In making this application for credit, I/we hereby agree that all amounts are payable on or before the net due date as shown on each invoice. If not paid on or before set date, account will then be considered delinquent. Further, I/we agree to pay a delinquency charge of (18%) per annum calculated monthly, uncompounded, but not in excess of the lawful maximum rate of interest, on any amount which becomes past due more than 15 days from the net due date appearing on each invoice and thereafter on all such delinquent amounts until paid. If credit is granted, I/we agree to the above claim and terms policy. The undersigned is/are responsible for payment of the account. And in making this application for credit, I/we do further agree that if this account is placed in the hands of an attorney for collection or if collection is made through probate proceedings, to pay a reasonable amount in attorney’s fees on both the principal and delinquency charge. Buyer hereby acknowledges jurisdiction of the courts of Dade county, state of Florida.


I authorize Monster Rose Farm LLCto verify any and all references we have given that may be required to determine our credit capabilities and to request relevant information from credit reporting agencies.

SIGNATURE

PRINT NAME

PRINT TITLE
DATE


Personal Guarantee In

consideration of any credit extended, I/We/Either of Us will individually and/or jointly guarantee payment of all indebtedness incurred by or merchandise furnished by Monster Rose Farm LLC plus finance charges and collection costs if incurred. Such guarantee shall remain in force until its revocation is made in writing by return receipt mail to (Monster Rose Farm LLC) Such revocation shall affect indebtedness incurred prior to receipt of written notice (return receipt mail).

Individual Signature:
  • Please Print Name
  • SSN
  • Date
Individual Signature:
  • Please Print Name
  • SSN
  • Date
Toll Free: (800) 307-0314

Accounting@Monsterrosefarms.com

PHONE: (305) 705 -3495
FAX: (305) 407-1762

eCheck Authorization Form

I authorize Monster Rose Farm LLC to initiate either an electronic debit or to create and process a demand draft against my bank account according to the terms outlined below. I acknowledge that the origination of ACH transactions to my account must comply with the provisioning of United States law.

Terms of Billing

  • One time on for the amount of .
  • Starting on and on the day of each month following through for the amount of .
  • Starting on and on the of each month following through for the amount owed to merchant as detailed in Invoice #'s .
  • Starting on and subsequently debited at any time for the amount owed to merchant as detailed in Invoice #/#'s .

Bank Information

  • Routing Number:
  • Account Number:
  • Account Type: Checking Savings, Consumer Business

This payment authorization is to remain in full force and effect until I, , notify Monster Rose Farm LLC of its cancellation by sending written notice in such time and in such manner to allow both Monster Rose Farm LLC and the receiving financial institution a reasonable opportunity to act on it.

Bank Information

  • Customer Signature:
  • Customer Printed Name:
  • Date:
Toll Free: (800) 307-0314

Accounting@Monsterrosefarms.com

PHONE: (305) 705 -3495
FAX: (305) 407-1762

Monster Rose Farm CREDIT CARD AUTHORIZATION FORM

MUST BE COMPLETED WITH COPIES OF CREDIT CARD AND LICENSE AND FAXED TO OUR SECURE LINE 305-407-1762 In order to process any future credit card orders properly we will need the authorized card holder to please fill out this form ONE TIME for every credit card on file. The card MUST BE a corporate card or owners card. Please make sure the copies are legible before sending. You may also send via email to accounting@monsterrosefarms.com

  • Company Name:
  • Name on Credit Card:
  • Credit Card Number #:
  • Expiration Date: CVV Security # (back of card)
  • Visa Master Card Discover

CREDIT CARD BILLING ADDRESS

  • Address:
  • City: State: Zip:
  • Phone: Fax:
  • Signature of authorized cardholder:

By signing the above line, you are authorizing Monster Rose Farm LLC to charge your credit card on any invoice placed by your company. You are also agreeing to our credit terms and conditions. Any credit request must be called in to your appropriate sales representative immediately and followed up in writing within 24 hours of receipt of product via fax to 305-407-1762. Monster Rose Farm LLC, is not responsible for any carrier related issues and is not responsible for processing any claims due to carrier related issues. Any problems between the customer and the carrier must be handled solely between both parties. If a problem is to arise with any shipment regarding quality, the vendor holds the right to request pictures to begin the process of a credit. Customer cannot destroy or process any product without written consent from Monster Rose Farm LLC if a claim is being placed. Monster Rose Farm LLC reserves the right to request the product to be shipped back at company’s expense in its original packing. If copies of credit card and license are not legible or appear too dark please take a picture and email directly with this form completed to accounting@monsterrosefarms.com



COPY OF LICENSE

Order cannot be processed without this


HERE

FRONT OF CREDIT CARD

Order cannot be processed without this


HERE



BACK OF CREDIT CARD

Order cannot be processed without this


HERE