New Account Form

Complete form below in it's entirety prior to submitting.



Account Name: Projected Opening Date:
Owner's Name: Physical
Address:
City, State: Zip:
Company Name: Office Mailing Address:
Office Mailing City, State, Zip Office Physical Address:
Office Physical City, State, Zip Office Phone:
Office Fax Number: Office Contact:
Store Phone: Store Fax:
Cell Phone: Home Phone:
Gas Gal p/Month: Avg Head Count p/day:
Deli Sales: Pictures Taken: Yes
No
Layout Complete: Yes
No
Store Image: Employee Image:

Information/Documents Needed Prior to Scheduling Training

Personal Profile Complete: Yes
No
Vendor Application Complete: Yes
No
Vendor Order Form Complete: Yes
No
Sales Tax Certificate Copied: Yes
No
UCC Completed: Yes
No
Health Permit Copied: Yes
No
Proof of Insurance Received: Yes
No
Fact Sheet Completed Yes
No
Store Locator Form Completed: Yes
No
   
License Agreement: Amendment to Agreement:
Amendment Not Needed:

Franchise Agreement: Does Corporate Office Need To Send Paperwork? Yes
No

Vendor Package
Bari: Express:
Vistar:    
Other: Carry-Out/Delivery:
If Other, Specify: Buffet:

Equipment Needed

Oven Needed: Yes
No
Oven Info:
Oven Voltage Info: Prep Table Needed: Yes
No
Prep Table Description: Stainless Steel Table Needed: Yes
No
1st Freezer 2nd Freezer
25 cf 25 cf
12 cf 12 cf
5 cf 5 cf
None None
Other Comments:

Dispensing Unit Awning
27 Inch Merco Yes No
  Drop:
  Length:
None    



Exterior Sign Other:
4 x 4 Single Face
6 X 6 Single Face
4 x 4 Double Face
6 x 6 Double Face
None Needed


Door Sheets
3 to a Page Order Form
None


Menus
Generic If Specific or None, Explain:
Generic with Subs
Store Specific
None






Menuboard Products Offered
  Sub Program
Magnetic Menuboard Wing Program
    Dippin' Chicken
None Breakfast Biscuits
   
Other Information:

Please do not leave any information blank. Form must be completed prior to submitting.
Thank You.

Salesperson/Developing Agent Name