Online Credit Application Request New Credit Application Request Thank you for your interest in establishing credit with Fancy Foods Inc. Please be advised: This form is solely a request to receive a credit application. Submission of this form does not constitute a credit application, does not establish an account, and does not guarantee approval of credit. All requests are subject to internal review, and Fancy Foods Inc. reserves the right, at its sole discretion, to determine whether a formal credit application will be provided. If deemed acceptable, you will receive the official credit application via email.Business InformationLegal Business Name(Required)DBA (If Applicable)Business Type(Required) Proprietorship Corporation Partnership Years in Business(Required)Primary Contact Name(Required) First Last PhoneEmail(Required) Business Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Screening Questions1. Do you currently purchase from distributors or suppliers on credit terms? Yes No 2. Do you have trade references available upon request? Yes No 3. Estimated Monthly Purchases? Under $5,000 $5,000 - $10,000 $10,001 - $25,000 $25,001+