Contact Alpha Fern | Fresh Garland

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New Account Inquiry

Thank you for your inquiry. We are excited to learn more about your company and the needs of your customers. Please take a few minutes to fill out our new account inquiry form to start working with Alpha Fern.

Check all the boxes that apply
Do you have a wholesaler code?
- My wholesaler provided me with an access code
Wholesaler code
Enter the code provided by your wholesaler
Credit Card Only
- I'll be using my credit card only for settlement
You'll be receiving a credit card authorisation form via email on submission. Your card will then be charged upon receipt of any new orders.
Company
First Name
Last Name
Phone
Fax
Email*
Website
Address
Street Address Address Line 2 City State ZIP Code

Request for References

Please respond with at least 4 references for your account application to be processed.
Company 1
Company 1 Name
Contact
Phone
Email
Address
Street Address Address Line 2 City State ZIP Code
Company 2
Company 2 Name
Contact
Phone
Email
Address
Street Address Address Line 2 City State ZIP Code
Company 3
Company 3 Name
Contact
Phone
Email
Address
Street Address Address Line 2 City State ZIP Code
Company 4
Company 4 Name
Contact
Phone
Email
Address
Street Address Address Line 2 City State ZIP Code

Resale Certificate

I HEREBY CERTIFY: That I hold a valid seller's Permit # issued pursuant to the Sales & Use Tax Law; that I am engaged in the business selling. That the tangible personal property described herein which I shall purchase from ALPHA FERN CO., LLC will be resold by me in the form of tangible personal property: provided, however, that in the event of any such property is issued for any purpose other than retention, demonstration, or display while holding it for sale in the regular course of business, it is understood that I am required by the Sales & Use Tax Law to report and pay tax, measured by the purchase price of such property.
Company Name
Permit Number
Copy of Resale Certificate
Authorization: I certify that I have a valid sellers permit.*
- Yes
- No

The undersigned being an owner, member and/or stockholder of the above Business, hereby personally guarantees and agrees to pay any indebtedness due by the Business to ALPHA FERN CO., LLC or any principle represented by ALPHA FERN CO., LLC from whom this Business may purchase merchandise in the future. I acknowledge that the following conditions will apply to all purchases from ALPHA FERN CO., LLC:
1. A finance charge of 2% per month shall be assessed on any account balance not paid within 30 days of the date of the statement.
2. Should any account be delinquent and should it be referred to an attorney or collection agent for collection assistance, a collection charge of 33% of the account balance will be added to the account. Certainly, you will be notified prior to any action.
3. I acknowledge that this is a legal obligation and I have not altered it before signing it.
Business Name
Authorized Buyers
Address
Street Address Address Line 2 City State ZIP Code
Shipping Address (if different)
Street Address Address Line 2 City State ZIP Code
Special Shipping Instructions
Resale Certificate Number
Federal ID Number
Type of Business
I acknowledge the above conditions*
- Yes
- No

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