Do you currently have a Trade Account with Connon Nurseries Inc?
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Yes
No
Unsure
What would you like to do?
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Apply for credit on your COD account
Increase the credit limit of your account
Update your Company's Information
Update Authorized Buyers associated with your account
Other
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Trade Partner Registration
All fields marked with an asterisk (*) must be be completed
Company Information
Registered / Legal Name of Business
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Company Mailing Address: Street
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City
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Province
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Please Select
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Postal Code:
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The property is:
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owned
leased
rented
Primary Phone Number
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Primary E-mail
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Copies of invoices will be sent to this address
Age of Business
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Is the business registered for HST?
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Yes
No
HST Registration #
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Additional Company Information
Company URL
Instagram handle
Facebook handle
Main Business Activity - please check all that apply to your business:
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Landscape construction
Home builder
Landscape architecture
Farm
Landscape design
Nursery / Garden Centre
Landscape maintenance
Florist
Property Maintenance
Member of Landscape Ontario
Other
Please submit 2 of the following:
business card, master business licence, advertising material such as a brochure or flyer, photo of company vehicle/equipment/uniform, sample invoice
File Upload
*
Browse Files
Drag and drop files here
Choose a file
max file size of 10MB
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of
File Upload
*
Browse Files
Drag and drop files here
Choose a file
max file size of 10MB
Cancel
of
How did you hear about us?
Search engine (Google, Bing, etc.)
Radio
Facebook
Television
LinkedIn
Newspaper/Online Newspaper
Instagram
Billboard/Transit Bus
YouTube
Referral from someone in the business
Landscape Ontario Congress
Referral from a customer
Other
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Owners / Principal Officers
Owner 1: Name
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Owner 1: Direct Phone Number
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Owner 1: E-mail
*
Owner 1: Is this person an Authorized Buyer?
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Please Select
Yes
No
Do you want to add more owners?
Yes
No
Owner 2: Name
Owner 2: Direct Phone Number
Owner 2: E-mail
Owner 2: Is this person an Authorized Buyer?
Please Select
Yes
No
Do you want to add more owners?
Yes
No
Owner 3: Name
Owner 3: Direct Phone Number
Owner 3: E-mail
Owner 3: Is this person an Authorized Buyer?
Please Select
Yes
No
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Authorized Buyers
only those not included in the Owners / Principal Officers section
Buyer 1: Name
*
Buyer 1: Direct Phone Number
*
Buyer 1: E-mail
*
Do you want to add more buyers?
*
Yes
No
Buyer 2: Name
Buyer 2: Direct Phone Number
Buyer 2: E-mail
Do you want to add more buyers?
Yes
No
Buyer 3: Name
Buyer 3: Direct Phone Number
Buyer 3: E-mail
Do you want to add more buyers?
Yes
No
Buyer 4: Name
Buyer 4: Direct Phone Number
Buyer 4: E-mail
Do you want to add more buyers?
Yes
No
Buyer 5: Name
Buyer 5: Direct Phone Number
Buyer 5: E-mail
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Are you applying for a Credit Account?
*
Yes
No
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Trade Professional Credit Application
Please complete this section only if you would like to request a charge account
Approximate monthly credit required
*
Credit References
Please provide unsecured trade references from suppliers who have extended credit to your business without requiring collateral. The references should reflect payment history for credit amounts comparable to the monthly credit limit requested in this application.
Reference 1: Company Name
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Reference 1: Contact Name
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Reference 1: Direct Phone Number
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Reference 1: E-mail
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Reference 2: Company Name
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Reference 2: Contact Name
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Reference 2: Contact Phone Number
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Reference 2: Contact E-mail
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Reference 3: Company Name
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Reference 3: Contact Name
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Reference 3: Contact Phone Number
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Reference 3: Contact E-mail
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Bank Reference
Name of Bank
Account Manager
Account Manager Phone #
Account Manager E-mail
Accounts Payable Contact
A/P Name
*
A/P Phone Number
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A/P E-mail
*
Invoices and statements will be sent to this address
Signing Authority
Signing Authority Name
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Signing Authority E-mail
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A copy of this form will be sent to above e-mail upon submission
Signing Authority Title
*
*
I/We hereby certify that the above information is true and complete, and authorize our bank and references to release any information necessary to assist in establishing a line of credit and agree to pay our account according to terms, and to pay all collection fees, reasonable attorney fees, court costs, and other expenses incurred by Connon Nurseries Inc. to obtain recovery of amounts due in the event of nonpayment.
Signature
*
Date
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Year
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Month
Day
Date Picker Icon
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Registration Completed By:
Applicant Name
*
Applicant Title
*
Applicant E-mail
*
A copy of this form will be sent to above e-mail upon submission
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THANK YOU!
You will be redirected to the appropriate form.
Name
*
Email
*
Reference #
Submit
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