Business Credit Application

UserAddressDetails
Business 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 and press confirm. We will send you a one time code to enter here. 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.
Type of Business*

CorporationSole ProprietorshipPartnership

Full Legal Name of Business*
Operating Name (if applicable)
Name of Proprietor*
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Unit / Suite / Apartment Number

CityProvince

Postal Code
Is Your Mailing Address Different?
Mailing Address

Street Address

Unit / Suite / Apartment Number

CityProvince

Postal Code

Date of Incorporation*

MonthDayYear
Date
Incorporation Type*

FederalProvincial
Director/Officer Names*
Only the officers and directors named above would be authorized to use the account.
Only the proprietor named above would be authorized to use the account. If you wish to add additional people please do so below.
Authorized Individuals

Bank Name*
Address*

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have an operating line of credit?*

YesNo
Nature of Business*
Date business started*

MonthDayYear
Date

Name of Accounts Payable *

First NameLast Name
Email of Accounts Payable*
example@example.com
Phone of Accounts Payable *
Please enter a valid phone number.
Estimated monthly purchases here?*
Estimated net worth of business?*
Have principals or owners ever failed or become bankrupt?*

YesNo
When?*

MonthDayYear
Date
Name in which operating at that time?*

Trade References

A trade reference is somebody who you pay on credit terms.
Reference 1
Business Name*
Address*
Phone Number*
Email Address
Estimated Annual Purchases
Reference 2
Business Name*
Address*
Phone Number*
Email Address
Estimated Annual Purchases
Reference 3
Business Name*
Address*
Phone Number*
Email Address
Estimated Annual Purchases
Reference 4
Business Name*
Address*
Phone Number*
Email Address
Estimated Annual Purchases

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
Please upload your proof of identity*

We now require a piece of photo identification for all new accounts. Acceptable documents include drivers license, health card or passport.
Cancelof
Signature*

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GUARANTEE
To: Copp Building Materials Limited
Whereas*
(hereinafter called the "Customer") proposed to purchase from you on credit and to become indebted to you in an amount of money which will be changing constantly as you sell goods to the customer and the customer makes payment of account.

I hereby guarantee payment to you on any past due portions of the Customer’s indebtedness to you in accordance with your system of extending credit and charging interest on past due accounts; and also due payment of all commercial paper now due or which may at any time hereafter become due by the Customer to you or held by you upon which the Customer shall be or may be liable.

You shall have the right at any time to refuse further credit to the said Customer or accept the Customer’s notes or acceptances for the amount due on any part thereof, to renew said notes or acceptances or any part thereof, to compromise the Customer’ liability to you, to extend time for payment to the said Customer or to any person liable upon any collateral or other security which you may at any time hold and accept or relinquish other securities as you may think proper, without notice to me and without discharging or affecting my liability.

It is agreed that any claim or claims which I may now or hereafter have against the said Customer shall be deferred and postponed to your claim and that any monies received by me from the said Customer on account of such claim shall be deemed to be held in trust for you by me to the extent of your claim which monies for valuable consideration I hereby assign to you.

You shall not be bound to exhaust your recourses against the Customer or other persons, or the securities you may hold, before being entitled to payment from me of any and all amounts hereby guaranteed.

Where used in this guarantee the singular shall include the plural and the masculine shall include the feminine and the body corporate where the context or the parties so require or permit and in the event of there being more than one guarantor their liability shall be joint and severed.

THIS GUARANTEE shall be a continuing guarantee for the whole debt now contracted and which shall be contracted by the said Customer with you in respect of goods to be supplied to the Customer as aforesaid or otherwise howsoever, and shall be revocable at any time as the future transactions by notice in writing given you or your authorized agent by me, or in case of my death by my personal representative.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Signature*

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Signature

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Your application is now complete. Please press Apply Now to finalize the submission.

Once the application is complete we may contact you if we require any additional information or email you seperately to request a signature via a third party signing service.
Should be Empty:

Business Credit Application

Trade References

Reference 1

Reference 2

Reference 3

Reference 4

GUARANTEE

To: Copp Building Materials Limited