126 MADISON AVENUE. NEW YORK, N.Y. 10016  
TEL. 212-447-9955  
FAX. 212-447-5547 

CORPORATE CHARGE APPLICATION  

ACCOUNT # ______________   (TO BE GIVEN TO YOU BY TASTY)

COMPANY NAME: ___________________________

COMPANY ADDRESS: _______________________

FLOOR ____________

PRINCIPAL’S SIGNATURE: ___________________

TEL. ______________

TYPE OF BUSINESS:

     CORPORATION

           PARTNERSHIP

       SOLE PROPRIETORSHIP

YEARS IN BUSINESS _____________

TRADE REFERENCES:

1

NAME: ___________________

TEL.

__________________

2

NAME: ____________________

TEL.

__________________

BANK REFERENCE:

NAME: __________________

TEL.

__________________

ADDRESS: _________________

ACCOUNT TITLE ________________

ORDERS MAY BE ACCEPTED FROM SIGNED BY THE FOLLOWING PEOPLE ON OUR STAFF:

1

NAME: ______________________

1

SIGNATURE: ___________________

2

NAME: _____________________

2

SIGNATURE: ___________________

3

NAME: ______________________

3

SIGNATURE: ___________________

4

NAME: ______________________

4

SIGNATURE: ___________________

5

NAME: ______________________

5

SIGNATURE: ___________________

I UNDER STAND A FULL PAYMENT OF OUR MONTHLY STATEMENT IS DUE UPON RECEIPT. THE TERMS OF PAYMENT ARE 15 DAYS AFTER RECEIPT OF STATEMENT. ACCOUNTS IN ARREARS 30 DAYS AFTER RECEIPT OF STATEMENT WILL BE CHARGED TO YOUR CREDIT CARD. PLEASE PROVIDE YOUR CORPORATE CREDIT CARD INFORMATION TO BE FILED WITH   US.

TYPE OF CARD _____________

ACCOUNT #_______________________

EXP_______

PLEASE OPEN A CHARGE ACCOUNT AS SPECIFIED ABOVE

AUTHORIZED SIGNATURE (OWNER)__________________________

DATE________

 SIMPLY PRINT THIS FORM, FILL IT OUT AND FAX IT TO US AT
212-447-5547