QuikDine Corporate Application, Online Ordering, Fast Food Delivery

CORPORATE ACCOUNT APPLICATION

 
Thank You! for your interest in QuikDine's Corporate Account Program. Please take a few minutes to fill out the following form and we will act promptly to see that you are soon able to utilize the benefits of this unique program.
No more running out of petty cash.....All corporate orders may be paid for through a single monthly statement.
 
Online ordering is tightly restricted and can only be delivered to pre-authorized personnel at pre-determined delivery locations.
 
No more lost time sending personnel out to pickup large food orders.
 
 
Corporate ordering is as easy as typing in the account number and selecting from a list of delivery addresses.... there is no need to type in lots of information each time you order.
ALL FIELDS REQUIRED UNLESS OTHERWISE STATED
• COMPANY INFORMATION •
Company Name:
Primary Contact Name:
Phone:
Email:
Position:
Supervisor's Name:
Address:
 
City:
State:
ZipCode
Dun & Bradstreet Nbr:
(If Available)
Federal Tax I.D. Nbr:
(If Available)

• BANK REFERENCE •
Bank Name:
Contact Person:
Phone:

• TRADE REFERENCES •
Organization:
Contact Person:
Phone:

Organization:
Contact Person:
Phone:

• AUTHORIZED USER(S) •
• User Account (#1) •
User Name:
Phone:
Email:
Delivery Address:
 
ZipCode

• User Account (#2) •  [Optional]
User Name:
Phone:
Email:
Delivery Address:
 
ZipCode

• User Account (#3) •  [Optional]
User Name:
Phone:
Email:
Delivery Address:
 
ZipCode

Party agrees to pay all invoices in full within 30 days of receipt of invoice. Party understands that a service charge of one & one-half percent (1½%) per month & late fees will apply to all overdue invoices. Party also agress that a fifteen percent (15%) Delivery Driver gratuity fee will be applied to all invoices. Normal delivery charges will apply to orders.