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3747 Hecktown Rd.

Easton, PA 18045
(610) 250 2099 or 1 (800) 451 - 2817
Fax 1 (866) 804 - 0616

CUSTOMER APPLICATION INSTRUCTIONS: Please answer ALL questions listed below. Federal Tax I.D. numbers are required information. If a question does not pertain to your company or you
individually, please mark the answer 'N/A'. The customer has the obligation to notify Phillips Pet Food & Supplies in writing as to any changes of the information supplied herein. Please read the
important information listed on the bottom of this APPLICATION before signing. Please fill out the information regarding the ownership of your Company.

BASIC INFORMATION

NAME OF COMPANY: RICHGATE E-COMMERCE *COMPANY IS TAX EXEMPT: Yes

TRADING AS: Wholesale Quality Goods TAX EXEMPT CERTIFICATE ID: 18428562

WEBSITE: wholesalequalitygoods.com TAX EXEMPT STATE:


Maryland - MD

RELATED ACCOUNT LOCATION: EXPIRATION DATE:

CURRENT DISTRIBUTORS:
MedCare LLC UPLOAD TAX EXEMPT FORM:

*IF TAX EXEMPT, TAX EXEMPT CERTIFICATE IS REQUIRED.

CONTACT INFORMATION

APPLICANT CONTACT

APPLICANT FIRST NAME:


Richard APPLICANT LAST NAME:
Campbell

APPLICANT TITLE: Sales Manager APPLICANT EMAIL: support@wholesalequalitygoods.com

MARKETING EMAIL: support@wholesalequalitygoods.com

BILLING CONTACT

BILLING FIRST NAME: Richard BILLING LAST NAME: Campbell

BILLING PHONE: 2023400575 BILLING MOBILE:

BILLING STREET ADDRESS: 500 meadowmist way

BILLING CITY:
Odenton BILLING STATE:
Maryland - MD BILLING ZIP:
21113

SHIPPING CONTACT SHIPPING ADDRESS IS SAME AS BILLING

Richard
SHIPPING CONTACT FIRST NAME: SHIPPING CONTACT LAST NAME: Campbell

SHIPPING PHONE NUMBER: 2023400575 SHIPPING EMAIL: support@wholesalequalitygoods.com

SHIPPING STREET ADDRESS: 10 Milltown court Unit B

SHIPPING CITY: Union SHIPPING STATE: New Jersey - NJ SHIPPING ZIP: 07083

OWNERSHIP CONTACT OWNERSHIP ADDRESS IS SAME AS BILLING ✔


BELOW - PLEASE FILL OUT THE INFORMATION REGARDING THE OWNERSHIP OF YOUR COMPANY. IF THERE ARE ADDITIONAL OWNERS,
PLEASE ATTACH A SEPARATE SHEET WITH A LIST OF THE ADDITIONAL OWNERS. IF PARTNERSHIP, PLEASE INCLUDE ALL GENERAL PARTNERS.

OWNER FIRST NAME: OWNER LAST NAME:

OWNER TITLE: OWNER PHONE NUMBER:

OWNER ADDRESS:

OWNER CITY: OWNER STATE: OWNER ZIP:

*ADDITIONAL OWNERS:
*IF PARTNERSHIP, PLEASE INCLUDE ALL GENERAL PARTNERS.

TRANSPORTATION INFORMATION

LOCATION TYPE: Commercial DOC HEIGHT: 10

DELIVERY LOCATION:
Front STEPS OR STAIRS:
less than 2

RECEIVING HOURS:
8a-6a STORE HOURS:
8a-6a

COMMERCIAL PARKING RESTRICTIONS IN PLACE DELIVERY NEEDS TO BE BROUGHT INSIDE


LOCATION CAN ACCOMMODATE 48’ TRAILER LOCATION HAS RECEIVING DOC

PREFERRED DELIVERY DAYS* ✔ MONDAY ✔ TUESDAY ✔ WEDNESDAY ✔ THURSDAY ✔ FRIDAY

*REQUESTED DELIVERY DATES CANNOT ALWAYS BE ACCOMMODATED, AND ARE SUBJECT TO CHANGE

SALES INFORMATION:

METHOD OF ORDERING: Email WEBSITE ACCESS NEEDED? Yes

BUSINESS STRUCTURE: Local Business DELIVERY LOCATION TYPE:


3rd Party

PRIMARY BUSINESS TYPE: Unknown Yes


CAN CUSTOMER ORDER ONLINE?

ANNUAL SALES:
100,000 NO. OF EMPLOYEES:
50

DATED OPENED:
03-01-2012 SQUARE FOOTAGE:
15000

SERVICES OFFERED: PRODUCTS OFFERED:


AQUARIUM MAINTENANCE GROOMING ✔ AQUATICS AND REPTILES ✔ LITTER

BOARDING LIVE ANIMAL SALES ✔ BIRD AND SMALL ANIMAL ✔ SUPPLIES

DAYCARE MEDICAL ✔ DOG AND CAT FOOD ✔ TREATS

DOG WALKING RESCUE ✔ LAWN AND GARDEN

FOOD SERVICES TRAINING

SIGNATURE

COMPANY NAME RICHGATE E-COMMERCE

Richard Campbell PLEASE UPLOAD YOUR


SIGNATURE Richard Campbell (Aug 2, 2021 17:49 GMT+5)
DATE Aug 2, 2021 RETAILER CERTIFICATE HERE

All application information presented is warranted to be true. I/We hereby authorize Phillips Feed Service, Inc., its assigns and successors (PFS) as their interest may appear to investigate my/our credit worthiness and financial responsibility. The undersigned represents
that he/she is the owner/managing member/financially responsible party who unconditionally & personally guarantees payment of all invoices within the stated terms both for the corporation and individually. All invoice(s) are due pursuant to the terms explicitly
stated on the invoice(s) and in the event of default the undersigned agrees to pay all finance charges at the PFS’ prevailing rate until the balance is paid in full, costs of collection and/or reasonable attorney’s fees. Nonpayment or continued slow payment of invoices
or finance charges will be cause, at the discretion of PFS, for the account’s suspension resulting in termination of ordering privileges. Suspension/termination of ordering privileges will not in any way relieve the undersigned guarantor’s obligation to pay all accrued
amounts due. PFS reserves the right to change the account’s terms & conditions at its sole discretion. In the event the business is sold or legal ownership otherwise changes, the undersigned shall immediately inform PFS in writing and identify the successors contact
information as well as all attorney’s information prior to the change officially taking effect.
RICHGATE E-COMMERCE

18428562

08-02-2021
Phillips Customer Application
Final Audit Report 2021-08-02

Created: 2021-08-02

By: Rebecca Gotzon (rebecca.gotzon@phillipspet.com)

Status: Signed

Transaction ID: CBJCHBCAABAAGA3q-njwzZdZfCQ1Ees7U5gyZFWrtBpI

"Phillips Customer Application" History


Web Form created by Rebecca Gotzon (rebecca.gotzon@phillipspet.com)
2021-06-24 - 5:49:25 PM GMT

Richard Campbell (support@wholesalequalitygoods.com) uploaded the following supporting documents:


File Attachment 1
2021-08-02 - 12:49:12 PM GMT

Web Form filled in by Richard Campbell (support@wholesalequalitygoods.com)


2021-08-02 - 12:49:12 PM GMT

User email address verification waived


2021-08-02 - 12:49:14 PM GMT

Agreement completed.
2021-08-02 - 12:49:14 PM GMT

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