* Legal company name :
Fax :
E-Mail :
* Tel. :
* Billing adresse :
* Delivery adress :
IRS/Id Number (U.S.A. only) IMPORTANT:
Preferred time periods for delivery:
Loading dock
Yes
No
In business since :
nb employees :
Local rented
Owned
If rented, name and adress of owner :
Credit requested:
$
Annual sales:
$
OWNERS / SHAREHOLDERS
Name
Adress
Tel.
Birthday
Name of president :
In business since :
Buyer :
Email :
Contact at accounts payable :
Email :
Banking Institution :
Account :
Adresse :
Person to be contacted :
Phone :
Fax :
CREDIT REFERENCE
: 4 major supplier
* Name :
* Phone :
Fax :
Account Number
The Buyer (the Signatory) certifies that all information supplied on his Credit Application Form, is accurate and up to date, and that he will communicate to the Supplier (Julien Beaudoin Ltd) all changes in said information. The Buyer authorises the Supplier to collect, communicate and detain information concerning the buyer's business and owners / shareholders. The Buyer is granted terms as follows: net, 30 days. The Buyer understands that said terms begin on invoicing date and that payment must reach the supplier before the end of said terms. Discounts are calculated on gross prices, before any sales tax are applied. The Buyer understands that his privileges can be revised, suspended or revoked at the Supplier's discretion. Merchandise sold to the Buyer by the Supplier will remain the Supplier's propriety until it has been paid in its entirety. No return of merchandise from the Buyer to the Supplier will be accepted without the Supplier's consent. Return fees will be retained in case of returned merchandise, representing 15% of the selling price.
In case of third party collection, or of legal proceedings, the Buyer accepts to pay for related interests (2% monthly) and collection fees, and that the proceedings take place in the judicial district of the Supplier.
* Name :
* Title :
* Date :