Place an Order

Credit Application

Date:
Legal Company Name:
Business Address:
Phone #:	Fax Number:
Head Office Address:	Same as above or
Is customer a:	Corporation Partnership Individual
Purchase Order # Required:	Yes No
OWNERS/OFFICERS of COMPANY
Name:	Title:
Home Address:
Phone #:
Name:	Title:
Home Address:
Phone #:
Years in business:	Type of Business:
Ever filed for Bankruptcy:	Yes No
Name of Company Bank:	Phone #:
Branch:	Contact:
Bank Line of Credit:	Credit Limit Required:
TRADE REFERENCES
Company Name:
Phone #:
Company Name:
Phone #:
Company Name:
Phone #:
Tax Numbers:	PST #: GST #:
I / We request you to extend credit to the undersigned and I / We jointly and severally agree to pay our account according to your usual terms of sales. If the account should become past due, a service charge may be charged to our account at the rate of 2% per month (24% per annum) on the overdue balance. This will also constitute your authority to conduct whatever personal investigation you determine necessary in reference to our above applicaton for credit.
Name of Officer:	Date:
GUARANTEE
To In consideration of you selling goods from time to time to: (here in after called the customer) I / We hereby guarantee to you payment of all moneys which are now or which shall at any time hereafter be due to you by the customer.
Date:
Witness:
Witness:

ASK THE EXPERTS call 1-800-561-5414

Terra-Cut Supply Ltd.: 155A Old Vernon Road Kelowna, BC, V1X 4R3
Toll Free: 1.800.561.5414 Ph: 250.765.0151 Fax: 250.765.0172
Email: cory@terracutsupply.com
Web Site: www.terracutsupply.com

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