Member account

Account opening / Credit application

Name of your ITACA representative

Company name

Name / Person responsible for orders *

First Name

Last name

Phone number / Person responsible for orders *

Email / Buyer *

Full address

Street number and name

City

State / Region

Postal code

Accounting

Type of business

Date

Days & hours of operation (for delivery)

Payment method - First order COD

Would you like access to our PEPPERI online ordering platform?

Yes No

Terms & Conditions:

Orders must be placed 48 hours before delivery.

COD payment for the 1st order. Net 30 terms for subsequent orders.

2% interest charged on overdue accounts after 30 days.

A $25 fee will be charged for returned checks due to insufficient funds.

I agree to pay all collection costs & legal fees to recover any amounts due.