Hilverda De Boer USA · 109 Danbury road, suite 6, Ridgefield CT 06877 · Phone: 888-220-7248/Fax: 847-416-4783

Hilverda De Boer New Customer Information

To become a client of Hilverda De Boer USA please complete our secure application form. We advise to use a computer, rather than a mobile device. Be sure to click the "Submit" button at the bottom of the page. Thank you.

Legal Company Name *

Trade Name or DBA Name: *

Tax ID [FEIN/EIN]: *

DUNS Number

Street Address: *

City *

State *

Zip Code *

Phone: *

Fax:

Primary Email Address: *

Confirm Email Address: *

Legal Form of Company (check one): *

Company Hours:

Owner's Name: *

Buyer's Name:

Buyer's Cell Phone Number:

Buyer's Email:

Accounts Payable Contact: *

Accounts Payable Phone: *

Email Address for Invoices & Statements: *

Fresh Flower Purchasing Credit Reference(s) - Company name, Phone, Fax & Contact Name:

Preferred Port of Entry

Local Delivery Preference

Commuter airline (provide airport code)

Trucking company (provide company name)

Fed Ex

Airport Code:

Trucking Company Name:

TERMS OF SALE

Payment term and account limits:

Check customers are Net 15 Days on invoice date. Credit Card customers are charged weekly on Wednesdays for the previous week's purchases. Credit limit is set at $5,000.

Terms of sale:

Arrival to US Port (JFK, ORD, DAL, LAX and MIA). Selected areas delivery to door as offered.

Auto order limits system:

In the event of customers exceeding credit limits (in days or dollar limit) or missing payment deadlines, salespersons and customer online login will be automatically unable to enter new orders. To resume access and to place new orders, overdue and/or over limit amount on account will need to be paid. Overdue payments are assessed per month at 1% interest.

Minimum orders & charges:

All Dutch orders must total $350 or more in order to be processed. Dutch box charges are $5.75 per box/master (this includes interior ice packing or winter packing). There is a $12.50 clearance fee and a $8.50 Export Agriculture fee per invoice.

Hilverda De Boer USA has delayed clarifying terms of carriage responsibilities of domestic Airlines/Truck lines/Overnight Carriers, however increasing and ongoing issues with logistics outside our direct control are proving to continue to be difficult during COVID into 2021.

We offer this Conditions of Contract and Carriage as a clarification of where Hilverda De Boer vs. domestic carrier's responsibility.

HILVERDA DE BOER USA Conditions of Contract and Carriage

Applicable to domestic Airlines, Couriers, All Third Party Contractors.

For transport of goods, the domestic airline/truckline/overnight carrier (FedEx/UPS) the airway bill is being used is the prime contractor and is responsible towards the consignee for failure of service.

It is basically our task to help you file a claim to the airline/carrier in cases where something of this nature occurs as being your forwarding agent.

*HDB USA may receive different forms of compensation that relate to a shipment claim. HDB USA compensation to you will be depending exactly on the outcome of such from the airline/carrier.

*Airlines/Carriers would pay for product onlyor product/air freight charges. Each situation and carrier will handle claims differently.

*All shipments are to be paid in full even in the event of the shipment being short, spoiled or lost; what proceeds is HDB helping the client filing a claim to the airlines and waiting for the resolution as we do not credit in advance and only do so until the airlines/carrier approves the claim.

*Claims to the airline/carrier must be filed timely, usually within 15 days. Supporting documents are needed. (pictures, discrepancy report by the airline, invoice)

*Some of the airlines/carrier may take up to 90 days for a claims resolution. However, for all of them the minimum waiting time is 30 days.

*The liability of the airline/carrier is limited. Due to this we require all shipments to have a declared value to protect your right to claim with the airlines/carrier.

*Airlines/carriers do not compensate for damages of all kinds. There are many exceptions depending on the “Contract of Carriage” as printed on the reverse of the airway bill/truck bill/overnight carrier.

Credits:

Hilverda De Boer strives to respond to customers immediately and responsibly in order to discuss, solve and settle claims in a timely manner. Hilverda de Boer is doing its utmost to guarantee you the best product; flowers, however, are a natural product and there is always an opportunity of damage or other issues that are out of

our control (noted above). In case of any quality discrepancies, missing products or other quality issues, Hilverda de Boer must be notified by email 24 hrs after arrival.

All requests are to be sent to your sales representative accompanied with;

Pictures of the affected flower

Picture of the box label

Pictures of the whole claimed lot of flowers

Invoice number

Date of arrival

Quantity of products

When all requests are reviewed by the sales representative and when approved, your credit will

be added to your statement.

All our offers and agreements, and the implementation thereof, are governed by the General Terms and Conditions of Hilverda De Boer B.V. These terms and conditions will be sent to you on request free of charge and can also be found on our website (www.hilverdadeboer.com).

Please share this letter and terms with your accounts payable department. Please keep this letter for future reference.

Please sign to indicate acceptance of terms (must be signed by an officer/owner of the company):

Name: *

Title: *

Date: *

PAYMENT PREFERENCE (check one): *

Check by Mail (Net 15 Days on Invoice Date)

Weekly Credit Card Charge (CC users must complete authorization section below. Please fill out ALL items.)

Credit Card Billing Authorization:

Company Name/Name on Credit Card:

Person Authorizing:

Credit Card Type (select one):

Visa

MasterCard

American Express

Credit Card Number:

Expiration Date (MM/YY):

CVV Number (3- or 4-digit code from back of card):

CREDIT CARD BILLING ADDRESS:

Street Address:

City:

State:

Zip Code:

Email Address:

Phone Number:

Fax Number:

Do you currently purchase Dutch flowers? Please select one: *

No, I do not currently purchase Dutch flowers

Yes, via local wholesale

Yes, direct

If you currently purchase Dutch flowers, what is your approximate annual purchasing amount?

$5,000 to $20,000

$25,000 to $100,000

$100,000 +

When do you plan on placing your first order with Hilverda De Boer USA? *

1-2 weeks

2-4 weeks

Just here to Browse

Applicant agrees that all information provided is accurate and complete. Applicant also
acknowledges that all orders may be immediately terminated at Hilverda De Boer's
discretion if any charges are declined or charge backs are claimed against any outstanding
invoiced amount. Disputes to amounts charged on this credit card should be
immediately reported to Danielle Hogenboom – d.hogenboom@hilverdadeboer.nl

Changes in status of this card can also be reported to Danielle Hogenboom.

Please sign below. If you are not equipped to write your signature, please type your name in the space provided just below the signature line.

The undersigned is the duly authorized representative for the credit card provided above.

Authorized signature (if you cannot write your signature here, type it in the space provided below this line):

clear

Typed Signature (if no signature is provided above, your name here will serve as legal authorization): *

Date: *