Credit Agreement
INSTRUSCTIONS: Please fill in all spaces. The party filling out this form must either be an officer, partner or owner of your organization. Your answers to all questions will enable us to expedite your application.
TRADE NAME(S)
LEGAL ENTITY
BUSINESS INFORMATION
DELIVERY ADDRESS
TELEPHONE #
BILLING ADDRESS IF DIFFERENT
BUSINESS IS A Corporation General Partnership Limited Partnership Proprietorship
LIST NAMES OF OFFICERS AND TITLE AND OR PARNTER, OWNER.
PREMISES OWN LEASE
PRINCIPALS
NAME, DIRVER'S LICENSE NO, HOME PHONE NO,
ADDRESS, CITY POSTAL CODE
BANK & TRADE REFERENCES
ONTARIO SALES TAX EXEMPTION NUMBER
BANK NAME AND ADDRESS
SUPPLIER 1 NAME AND PHONE #)
SUPPLIER 2 NAME AND PHONE #)
SUPPLIER 3 NAME AND PHONE #)
SUPPLIER 4 NAME AND PHONE #)
The undersigned certifies the above information to be true and agrees to pay all accounts upon recept unless otherwise expressly agreed. The undersigned consents to the obtain of credit and / or personal information as may be required at any time in connection with the credit hereby applied for or any renewal or extension thereof and to the disclosure of any credit information concerning the undersigned to any credit reporting agency or to any person with whom the undersigned has or propses to have financial relations.
TERMS:
1. The undersigned consents to reimburse North Ontario Food Sales the sum of $25.00 for each cheque the customer issues to North Ontario Food Sales that fails to clear the bank.
2. On default, the customer and any guarantors of the debts to be incurred agree that the lawyer's costs of recovering the debt are also payable on a solicitor and his own client basis.
I, the undersigned, full understand an agree to the terms and conditions stated above.
Date: JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 2011
Authorized Signature
For valuable consdieration receieved in the form of credit granted by the supplier, at the request of the undersinged, to
Full Company Name
the undersigned hereby guarantee(s) all present and future indeptness to
North Ontario Food Sales, of Full Company Name
for credit and further warrants the truth of the representations and undertakings given above.
Signed this 1 ST 2 ND 3 RD 4 TH 5 TH 6 TH 7 TH 8 TH 9 TH 10 TH 11 TH 12 TH 13 TH 14 TH 15 TH 16 TH 17 TH 18 TH 19 TH 20 TH 21 ST 22 ND 23 RD 24 TH 25 TH 26 TH 27 TH 28 TH 29 TH 30 TH 31 ST Day of JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMEBER DECEMBER , 2008 2009 2010 2011
In the Province of ONTARIO QUEBEC