Hwc credit application 20151

Page 1

Sir/Madam:

Date: _____/_____/_____

To induce Heritage Wine Cellars, Ltd. to sell merchandise and extend credit to:_________________ (Corporate Name) an Illinois Corporation at (My) (Our) request, the undersigned hereby unconditionally guarantee (1) the full and prompt payment when due of any and all indebtedness which may at any time and from time to time be incurred by the said __________________ (Corporate Name) to Heritage Wine Cellars, Ltd. interest at the rate of 1 – 1/2 % per month (18% per year) shall accrue on all indebtedness beyond 30 days of invoice date. This guarantee shall be continuing, absolute and unconditional, and shall remain in full force and effect until written notice of its discontinuance shall be actually received by Heritage Wine Cellars, Ltd. and also until any and all indebtedness existing before receipt of such notice shall be full paid. The undersigned hereby expressly waive (s) diligence in protest, dishonor, default or non-payment, or of the creation or extension of any guaranteed debt or of any security or collateral therefore, or of the acceptance of this guarantee, or of extensions of credit or indulgences hereunder, or of any alteration in the obligation or rights whatsoever relating hereto. It is further understood that the cost of collecting and/or enforcing this agreement shall be done solely by the guarantors. This guarantee shall have no bearing whatsoever with any other guarantee existing with any group or association within the Liquor Industry, and shall be treated separate from such. Signed and delivered by the undersigned, at Illinois this _____ day of ___________A.D. in the year of 20____ Corporate Name:

_______________________

Illinois Liquor License: _______________________

D.B.A.:

______________________________

Expiration Date:

____/____/______

Address:

______________________________

Special Instructions: _______________________

_______________________________

Delivery Times: ____________________________

Guarantor (Print):_____________________________

Guarantor (sign): ___________________________

Phone: _________________________

Contact Person: ___________________________

Email: ____________________________________

Contact Cell: _____________________________

HWC Sales Rep: __________________________ --------------------------------------------------------- HWC Office use only ----------------------------------------------------------Type: Category:

Ethnicity:

Buying Limits: (Wine types) Potential ON: Potential OFF: Chain Status: Private Room:

ON OFF Banquet Hall Club Nightclub American Indian Spanish Australian Italian Ultra Fine Dining High Traffic Corporate 1 - 25

ON-OFF Bar/Lounge/Theater Country- Private Club Caterer Food & Drug Fine Wine Store Hotel Restaurant Special Event Asian Brazilian French German Italian Latin Mediterranean Steakhouse Other _______________________________ Domestic French German Greek Latin Mediterranean South African Premium Dining Casual Dining Medium Traffic Low Traffic Independent 25 – 50 50+

Convenience Store LQR Store Greek Russian Spanish None


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