Grand Café Corporate Credit Account Application

 

Company Name:                                                        Type of Business:

Address:                                                                      Floor/Suite:

Zip Code:                                                                    Phone Number & Ext:

Email Address:

Bank Name:                                                                 Account #:

Telephone #:

Credit Card Type & Number:                                                  Exp. Date:

Signature of Corporate Officer:

Title:                                                                            Date:

Please list all employees that can use this account:*

Name:                                                                            Name:

Name:                                                                            Name:

Name:                                                                            Name:

*Grand Café assumes no responsibility for the above individuals and will deliver food orders to all individuals listed above.

Please list two trade references:

Name:                                                                          Telephone#:

Name:                                                                          Telephone#:

 

230 Park Ave., New York, NY 10169         www.GrandCafeNyc.com

Ph: (212) 883-6789                       Fax: (212) 883-6790