Personal Credit Application

UserAddressDetails
Individual Credit Application

You can save this form and come back later if you don't have all of the required information. Completing this form allows you to shop at Copp's Buildall and FloorSource if your application for credit is approved.
To help confirm you're a real person please enter your mobile number here. We will send you a one time code to confirm. This number will NOT be stored and will not be used for any other purpose.*

Amount Of Credit Requested ($)*
All payments are due by the 15th of the month following purchase.
Name*

*First Name*Last Name
Date of Birth*

MonthDayYear
Date
Social Insurance Number
Not required but is recommended
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Unit / Suite / Apartment Number

CityProvince

Postal Code

Do you own or rent?*

OwnRent
Is there a mortgage on your house?*

YesNo
Monthly mortgage payment?*
How long have you lived here for?*

Less Than Two YearsMore Than Two Years
Previous Address*

Street Address

Unit / Suite / Apartment Number

CityProvince

Postal Code
Is This A Joint Application?*

YesNo
Joint Applicant Name*

*First Name*Last Name
Joint Applicant Date of Birth*

MonthDayYear
Date
Joint Applicant Social Insurance Number
Not required but is recommended
Joint Applicant Email*
example@example.com
Joint Applicant Phone Number
Please enter a valid phone number.

Employment History (if less than two years please add another)*

Financial History*
Type Of Accounts (select all that apply)*

ChequingSavingsMortgageLine of CreditLoan
Balance of Chequing
Balance of Savings
Balance of Mortgage
Balance of Line of Credit
Balance of Loan*

If approved for credit, would you like anyone else to be able to charge?

Current Payments (add all that apply - credits cards, financing, etc.)
Personal Reference

Purpose Of Credit*

New House BuildRenovationsGeneral ShoppingOther
House Build

Legal Description of Land
County of
or Township of
Lot #
Plan #
Financing of Construction
How are you financing your construction?*

Mortgage / Building MortgageLine of CreditSavingsSale of HouseOther
Mortgage Lender
Phone Number
Please enter a valid phone number.
Amount of Mortgage
Please attach your mortgage documents here (PDF only)*

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Bank Name
Phone Number
Please enter a valid phone number.
Credit Limit
Please attach your line of credit documents here (PDF only)*

Cancelof
Closing Date*

MonthDayYear
Date
Amount of Sale
Please attach your accepted offer documents here (PDF only)*

Cancelof

Release of Information
I hereby authorize you to contact my financial institution(s) to validate the information described above for the purposes of establishing a line of credit with Copp Building Materials Limited.*

Yes
Terms and Conditions

Copp Building Materials Limited is committed to ensuring the confidentiality of personal information and in compliance with government privacy legislation and that the personal information we obtain from and about our customers is accurate and remains confidential and private.

The undersigned authorize Copp Building Materials Limited to conduct or cause to be conducted, a personal investigation thereof with a view to determining the credit reliability in support of this application for credit and consent to the disclosure of such information. The information included in this credit application is for use by Copp Building Materials Limited in determining credit to be extended. The undersigned understands that Copp Building Materials Limited may also utilize and exchange credit related information with any other sources of credit which it considers necessary in making this determination and continuing to manage an approved credit account.

The undersigned agree to pay a finance charge of 2% (24% per annum) in the amount of any overdue balance on any invoice from the date such balance becomes overdue.

The undersigned agree that at any time Copp Building Materials Limited shall have the right to refuse further credit.

The undersigned acknowledge that according to the terms for payment for monthly accounts of Copp Building Materials Limited, accounts are due in full on the 15th of the month following the date of purchase. If Applicant fails to provide Seller with the current list of authorized signers on the account or notify Seller of any changes to authorized signers on Applicant’s account, Applicant shall be solely responsible for unauthorized charges to Applicant account. This authorization is continuing in nature and used periodically to obtain updated information.
Do you agree to the terms and conditions above?*

Yes
Proof of Identity*

Due to the ever increasing risk of fraud, we now require a piece of photo identification for all new accounts. Acceptable documents include drivers license, health card or passport.
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Once the application is complete we will email you document for your signature via a third party signing service.
Signature

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Individual Credit Application