Credit Terms Application

Credit Terms Application
To apply for credit terms, check the box at the bottom of the form to open this section. Someone from our credit department will then follow up with you.
Account Payable Contact

First Name Last Name
Account Number *
Address Type *
Company Name *
Country *
Unit Number
Street Address *
Postal/Zip Code *
City *
Province *
Province
State *
State
CREDIT CARD PAYMENTS

Credit Card details are required with opening orders. Opening orders charges will be processed on the date of shipping. All subsequent order charges will be processed on the date of shipping unless terms have been requested and approved. Requested & approved term charges will be processed according to the invoice terms. Terms Net 30 days from date of shipping on approved credit
*

I would you like to apply for Credit Terms
CREDIT TERMS APPLICATION

Someone from our accounting department will follow up with you via email or phone to let you know if you have been approved
TRADE REFERENCES

Please provide at least two references to apply for credit terms
Company Name *
Phone Number *
Fax Number
Email Address *
Company Name *
Phone Number *
Fax Number
Email Address *
Company Name *
Phone Number *
Fax Number
Email Address *
FINANCIAL REFERENCE

Please provide one full reference to apply for credit terms
Bank Name
Branch Number
Account Number
Contact Name
Contact Phone Number
Please enter a valid phone number.
Contact Email
example@example.com
APPROVAL
*

We hereby jointly and severally agree to pay our account according to your terms of sale, and to pay interest at a rate of 2% per month on all amounts in arrears in addition to attorney fees and court costs.
Name *
Title
Date *

Month Day Year
Date
Should be Empty:

Credit Terms Application

CREDIT CARD PAYMENTS

CREDIT TERMS APPLICATION

TRADE REFERENCES

FINANCIAL REFERENCE

APPROVAL