Farm.One Trade Credit Application
Fill in this quick form to enable a Net 30 trade credit account with Farm.One.

If you don't want to fill in this form, you can always pay online by credit card.

Any questions, call or email us!

Our basic credit terms
1. Invoices are to be paid within 30 days of receipt

2. If you pay an invoice within 10 days, you receive a 2% discount.

3. We don't extend credit beyond 30 days.

4. We don't accept new orders or make deliveries to customers with outstanding (30+ days old) invoices.

About Your Business
Legal Form of Business *
Legal business name *
Your answer
Public business name (e.g. Restaurant name, if different) *
Your answer
Approximate date business started *
Tax ID Number *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone *
Your answer
Name of President/CEO/Principal *
Your answer
Accounts Payable
Accounts Payable Contact Name *
Your answer
Accounts Payable Email *
Your answer
Accounts Payable Phone Number *
Your answer
Reference 1: Name *
Your answer
Please provide two trade references that we can chat to.
Reference 1: Email *
Your answer
Reference 1: Phone *
Your answer
Reference 2: Name *
Your answer
Reference 2: Email *
Your answer
Reference 2: Phone *
Your answer
By submitting this agreement and writing your full name below, you are effectively providing your signature, indicating that:

- You are authorized to enter into a credit agreement on behalf of your organization
- You have read and understood Farm.One, Inc's credit terms above.
- Everything you've entered in this form is accurate
- You currently pay your suppliers on time and have had no significant credit issues with suppliers in the past
- You will pay Farm.One invoices within 30 days of receipt
- You will communicate with Farm.One in good time if the above information changes

Your full name *
Acting as signature
Your answer
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