USA Hospitality — Customer Forms & Applications

Customer Forms & Applications

Open a business account, authorize secure payments, and enroll in our dispenser program to standardize supplies and streamline ordering. Download, complete, and email forms to admin@usahospitality.com. Questions? (407) 903-1600.

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Business Account • Credit Card Payments • ACH / Bank Draft • Dispenser Program

Customer Application (COD / CC / Check)

Create or update a business account to standardize purchasing across locations and speed up delivery scheduling.

  • Include driver license & occupational license
  • Optional: DR-13 Tax-Exempt Certificate (if applicable)
PDF Form
Download, complete, and sign. Then email the completed, signed PDF (and any required attachments) to admin@usahospitality.com.
Online Form
Complete and submit electronically for faster processing. You will see a confirmation message after submission.

Credit Card Authorization

Authorize secure credit card payments to pre-pay orders and release deliveries faster—ideal for weekend replenishment.

  • Attach card front & photo ID
  • Cardholder signature required
PDF Form
Download, complete, and sign. Email the completed, signed PDF (plus required ID attachments) to admin@usahospitality.com.
Online Form
Submit electronically to reduce turnaround time. Keep your card and ID available during completion.

ACH Payment Authorization

Enable automatic ACH / bank draft for invoices to reduce admin time and avoid late fees.

  • Provide bank name, routing & account number
  • Billing contact email for receipts
PDF Form
Download, complete, and sign. Email the completed, signed PDF to admin@usahospitality.com.
Online Form
Submit electronically for streamlined processing. Have your bank details available before you begin.

Payment Agreement (Terms & Guaranty)

Standard credit terms & conditions for accounts requesting net terms or scheduled payments.

  • 18% annual interest on delinquent balances
  • Collection costs & jurisdiction (Orange County, FL)
PDF Form
Download, complete, and sign. Email the completed, signed agreement to admin@usahospitality.com.
Online Form
Submit electronically to help accelerate processing. Ensure the authorized signer completes the submission.

Dispenser Lease Form

Enroll in the USA Advantage dispenser program to improve hand hygiene, branding, and cost control with approved refills.

  • Ownership remains with USA Hospitality
  • Use with recommended refills only
PDF Form
Download, complete, and sign. Email the completed, signed lease form to admin@usahospitality.com.
Online Form
Submit electronically for faster routing. Provide accurate location counts and contact information for scheduling.

How to Submit

  1. Download and complete the applicable form(s).
  2. Attach required documents (ID, occupational license, tax-exempt certificate if applicable).
  3. Email to admin@usahospitality.com or your sales representative.

Frequently Asked Questions

Can I sign these forms electronically?

Yes. Print-sign-scan is fine, or use your preferred e-signature tool and email the signed PDF to admin@usahospitality.com.

The PDF opens in my browser. How do I save it?

Click the blue “Download PDF” button. You can also right-click the button and choose “Save link as…”.

What if my business is tax-exempt?

Attach your DR-13 (Florida) or applicable state exemption certificate with your Customer Application.