New Account | Wasatch Fresh

New Account Setup Form

Business Name

Contact Person

Contact Email (This will be your login)

Contact Phone

Name (This Business

Delivery Address

Address Line 1

Address Line 2

City

State

Zip Code

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Special Delivery Instructions

Printed Name

Signature

Clear Signature

Date

Terms of Service

Order Requirements:

$100 Minimum Order
48 Hour Notice

Billing Terms:

Net 15
1.5% Late Fee of Total Invoice for each month past due.

*By signing above you agree to Wasatch Fresh that you are an authorized signer on behalf of the business entity. You also agree to the order and billing terms along with any outstanding balance due for orders placed.

Wasatch Fresh thanks you for your business