Credit Application And Guarantee

Credit Application And Guarantee
Full Legal Name and Trade Name*
Address*

Principal Business Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Province*
Postal Code*
Phone*
Marcone Acct #:
Shipping Address (If Different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Province
Postal Code
A/P Contact*
A/P Email*
example@example.com
Purchasing Contact*
Purchasing Email*
example@example.com
Owner Direct Number*
Owner Mobile Number*
Status:*

CorporationPartnershipSole Proprietor
(Check (√) all that apply)*

New Res. Construction PlumbingNew Res. Construction HVACService PlumbingService HVACMechanical ContractorCommercial HVACManufacturing / IndustrialRetail/BoutiqueGovernment / InstitutionalPlumbing & Heating
Do you*

Own ORLease/Rent your principal place of business?
Business Start/ Incorporation Date: (mm/yyyy)*

MonthDayYear
Date
# Employees*
Check (√) if PO# Required for All OrdersCheck (√) If You Require a Monthly Statement
Name and Contact Information of Landlord (If rented/leased) Type N/A if owned*

NAME AND TITLE, DATE OF BIRTH OR SIN, HOME PHONE NUMBER, AND EMAIL ADDRESS FOR ALL PRINCIPALS/OWNER’S/PARTNERS:*

Rows	Name and Title	Date of Birth OR SIN	Phone	Email Address

BUSINESS FINANCIAL INSTITUTION REFERENCE (Please Complete All Areas):
Financial Institution with Address and City*
Name Account is Listed Under*
Account Type:*

Non-BorrowingBorrowing
Transit #*
Account #*

TRADE REFERENCES: (Do not include COD accounts, utility accounts or credit cards. Please provide all information as requested below for each trade reference)*

Rows	Supplier Name and Contact Name (If Applicable)	Phone Number	Fax # OR Email	Customer Number	Terms and Credit Granted
1
2
3

TERMS OF SALE
Credit accounts are due and payable Net 30th day following date of invoice unless otherwise mutually agreed upon. A service charge of 1.5% per month (18% per annum) applies to past due accounts. I acknowledge that if the business is a partnership, all indebtedness incurred is joint and several. The amount of credit granted may be changed or credit withdrawn at any time at the discretion of Marks Supply Inc. The applicant agrees that Marks Supply Inc. may obtain personal information about the applicant from consumer reporting agencies prior to extending credit and any time after that when the ‘Applicant’ remains indebted to Marks Supply Inc. I consent that I may receive electronic documents, such as invoices and statements of account from Marks Supply. An NSF fee of $50 will be charged for any returned payments from the financial institution.
CERTIFICATE AND AUTHORIZATION
I certify that all the above information is true correct and complete. I am a Principal, Owner or Partner of the business and have the authority to bind the Business. I authorize that Marks Supply may obtain personal credit information about the applicant from consumer reporting agencies prior to extending credit. I hereby authorize my bank named above to disclose all information on my bank dealings to Marks Supply Inc. I understand that the information provided will be held in strict confidence and will be relied upon by Marks Supply Inc. in extending credit.
CONTINUING GUARANTEE
In consideration of Marks Supply Inc. supplying goods to the business, I/we hereby (jointly and severally) personally guarantee payment for all such goods which you may supply to the Business. I/we personally agree that you may accept notes or acceptances for the price of goods supplied or any part thereof, may compromise the liability of the Business to you, and exercise or relinquish any security as you may think proper, without lessening or adversely affecting your rights against me/us. And I /we declare and agree that this personal guarantee shall continue to be binding and shall ensure to the benefit of Marks Supply Inc. until it receives payment in full for goods supplied to your business.

Witness of whereof the Guarantors have hereunto set their hands.
Witness Signature *

Clear
Printed Name Of Owner / Principal*
Signature Of Owner/Principal *

Clear
Date Of Signing*

MonthDayYear
Date
Should be Empty:

Credit Application And Guarantee

TERMS OF SALE

CERTIFICATE AND AUTHORIZATION

CONTINUING GUARANTEE