Business Name: *

Select type of business:: *

FEDERAL ID N°.:: *

Tax ID *

Business Phone: *Please enter your phone number, including the international dialing code, for example; + 1 (407) 1234567

Fax Number: *Please enter your phone number, including the international dialing code, for example; + 1 (407) 1234567

Business mail: *

Cargo Agency: *

Company address: *

DirecciónEdificio, Piso, Puerta...CiudadEstado / provincia / regiónPostal / Código postalPaís

Billing Address: *

Owner Name: *

Owner e-mail: *

Owner Skype:

Owner Phone: *Please enter your phone number, including the international dialing code, for example; +1 (407) 1234567

Buyer Name: *

Buyer e-mail: *

Buyer Skype:

Buyer Phone: *Please enter your phone number, including the international dialing code, for example; +1 (407) 1234567

Accounting contact: *

Accounting E-mail: *

Accounting Skype:

Accounting Phone: *Please enter your phone number, including the international dialing code, for example; +1 (407) 1234567

Bank Name: *

Account No: *

ABA N°.: *Route transit number (ABA RTN) or ABA Transit route number. *Note: In the case that applies to the country, if not applicable, write N / A

Bank E-mail *

Contact person in the bank

Bank Phone: Please enter phone number, including the international dialing code, for example; +1 (407) 1234567

Company Name (1): *

Phone Company Name (1): *

Email: Company Name (1):

Company Name (2):

Phone Company Name (2):

Email: Company Name (2):

Company Name (3):

Phone Company Name (3):

Email: Company Name (3):

Directions from your location to the nearest interstate: *

Pay Form: *

Credit days: *

None123456789101112131415161718192021222324252627282930

Do you want a Standing order? *

MondayTuesdayWednesdayThursdayFridaySaturdayNone

Shipping Days:

MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Weekly Volume:: *

Size of boxes *

Super Jumbo: 120 x 35 x 35 centimetersJumbo: 120 x 30 x 30 centimetersHalf: 105 x 30 x 15 centimeters

Name of the freight company *

Stem length: *

50 cm60 cm70 cm80 cm90 cmNone

Stem length: *

50 cm60 cm70 cm80 cm90 cmNone

Stem length: *

50 cm60 cm70 cm80 cm90 cmNone

Terms and policies of the company: Infinity Love: *CREDIT POLICY: • The flower sold and shipped FOB to you, has a payment period of 45 days maximum from invoice date. • Incase that your balance statement presents one or more invoices with dueda teequalor greater than 75 days, our accounting will inmediately stop • shipments without previous notification, until we receive the pending payment. CLAIMS POLICY: Following, the requirements needed to present a claim: The deadline to send a claim notification: maximum 48 hours of receiving the flower shipment to the airport of destination. • Date of the delivery form the farm to the cargo agency • The invoicenumber • Date of the departure from the farm • Ecuador’s departure flight number • HAWB, AWB and cargo agency used for the shipment • Photographic report ofthe state ofthe product upon the arrival atthe destination airport with the description ofthe claim. • Photographs ofthe labels on the boxes, where the number ofthe serial guide are showed • Photographs ofthe affected bunches,total bunches, label number of each affected bunch and reason ofthe claim. • Amount of bunches affected • Ifthere is a difference in the weight ofthe bunches, we need the 100% report ofthe shipmentto evaluate the information presented. • Infinity Love is not responsible forany claim for delays caused by airlines or cargo agencies or any other problem that breaks the propercoldchain management. I certify that the above information is true and correct and I confirm that I have read, understand and accept the comercial policies of INFINITY LOVE. I commit myself to pay the invoices generated with my enterprise at the time stipulated or assume the interest generated by its delay. I will provide all the information resquested INFINITY LOVE in case of claim or discrepancy of the balance statement.

Full name of the client: *

Position occupied in the company: *

Attended by:

Date *

Infinity Love Ecuador, customer registration form

Company Information

Owner

Buyer information

Accounting information

Bank information

Credit References

Data for the shipment

Tinted Roses Preference:

Roses Preference:

Spray Preference:

COMERCIAL POLICIES OF INFINITY LOVE

Verification