Credit Application

Credit Application
Business Information
Legal Business Name/Tradename*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physical Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Fax Number
Please enter a valid phone number.
Authorized Branch Location

(Permitted to bill to this account)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone
Shipping/Receiving Hours
Ownership & Contact Information
Partners/Directors Responsible for This Account
1) Name
Phone
Email
example@example.com
2) Name
Phone
Email
example@example.com
Accounts Payable Contact
Name
Phone
Email
example@example.com
Special Invoicing Requirements (POs, job numbers, etc.)
Credit Information
Requested Credit Limit
YesNo
If no please explain.
Industry
Sole ProprietorshipPartnershipCorporation
Years in Business
GST Number
Number of Employees
Business References

(Trade References Preferred)
1) Company Name
Email
example@example.com
2) Company Name
Email
example@example.com
Credit Terms & Agreement
1. Payment Terms: All invoices are due net 30 days from the invoice date unless otherwise agreed in writing.

2. Invoice Disputes: Any disputes must be submitted in writing within 30 days of the invoice date. Undisputed portions must be paid in full pending resolution.

3. NSF Charges: All NSF payments are subject to a $25.00 administration fee.

4. Default & Credit Suspension: Failure to comply with these terms may result in:
- Suspension or cancellation of credit privileges without notice
- Immediate payment of all outstanding balances
5. Collection Costs: The applicant agrees to pay all reasonable costs incurred by Apex in collecting overdue amounts, including legal fees, court costs, and collection agency fees.

6. Accuracy of Information: The applicant certifies that all information provided is true and correct and authorizes Apex to verify credit and reference information.

7. Change of Ownership: The applicant must notify Apex Overhead Ltd. in writing of any change in ownership or control.

8. Security Interest: The applicant grants Apex Overhead Door Ltd. a security interest in any materials, equipment, or property supplied or stored by Apex Overhead Door Ltd. until all amounts owing are paid in full.
Authorized Signature
Signature of Applicant

Clear
Print Name
Title/Position
Date

MonthDayYear
Date
Apex Overhead Door Ltd. is committed to protecting your personal and business information. Information collected through this application is used solely for credit evaluation, account administration, and lawful business purposes. Information will not be disclosed without consent, except as required by law.

If you have questions regarding our privacy practices, please contact us directly.
Should be Empty:

Credit Application

Business Information

Authorized Branch Location

Ownership & Contact Information

Credit Information

Business References

Credit Terms & Agreement

Authorized Signature