AFE ACCOUNT SETUP FORM

NEW ACCOUNT INFORMATION
*THE FIRST INVOICE ON ACCOUNT MUST BE PAID C.O.D, ONLY ONCE THIS FORM IS APPROVED WILL YOU BE ALLOWED TO CHARGE TO YOUR 30 DAY ACCOUNT*
LEGAL NAME OF BUSINESS*
COMPLETE ADDRESS*
CONTACT NAME*
PHONE NUMBER*
Format: (000) 000-0000.
ACCOUNTS PAYABLE NAME*
ACCOUNTS PAYABLE EMAIL*
example@example.com
YEAR ESTABLISHED*
FEDERAL SALES TAX NUMBER*
TRADE REFERENCES
*PLEASE NOTE: YOU MAY NOT USE FOOD/LIQUOR RELATED REFERENCES
COMPANY 1*
CONTACT NAME*
ADDRESS*
PHONE NUMBER*
Format: (000) 000-0000.
EMAIL OR FAX*
example@example.com
COMPANY 2*
CONTACT NAME*
ADDRESS*
PHONE NUMBER*
Format: (000) 000-0000.
EMAIL OR FAX*
example@example.com
COMPANY 3*
CONTACT NAME*
ADDRESS*
PHONE NUMBER*
Format: (000) 000-0000.
EMAIL OR FAX*
example@example.com
BANK INFORMATION
BANK NAME*
CONTACT*
PHONE*
Format: (000) 000-0000.
ADDRESS*
The applicant on behalf of the company acknowledges credit terms of 30 days from date of invoice with late payment charges of 2% per month applicable on any unpaid balance. The undersigned authorizes Alberta Food Equipment 2015 LTD. to proceed with credit investigation as required.
NAME PRINT*
DATE*

MonthDayYear
Date
SIGNATURE*

Clear
Should be Empty:

TRADE REFERENCES