| Your Name: |
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Your title: |
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| Company Name: |
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| Name of Parent Company: |
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| Type of Business |
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| Number of Employess: |
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| Date Business Started: |
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Type of Business: |
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| Business Contact Information |
| Street Address: |
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City: |
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| State/Province: |
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Zip/Postal: |
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| Phone #: |
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Country: |
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| Fax #: |
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| Email: |
| Corporate Officer / Owner Information / Accountant |
| President: |
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Vice President: |
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| Treasurer: |
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| Billing, Receivables Contact: |
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Phone #: |
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| Corporate Email: |
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| We expect our Monthly Credit Requirements to be
Approximately:
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| Normal Days to Pay:
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| Bank Information |
| Bank Name: |
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Branch: |
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| Street Address: |
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| City: |
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State/Province: |
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| Zip/Postal: |
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Phone #: |
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| Contact Name: |
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Years at this Bank: |
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| Trade Reference 1 |
| Organization: |
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Street Address: |
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| City: |
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State/Prov: |
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| Zip/Postal: |
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Contact Name: |
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| Phone #: |
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Fax #: |
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| Trade Reference 2 |
| Organization: |
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Street Address: |
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| City: |
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State/Prov: |
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| Zip/Postal: |
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Contact Name: |
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| Phone #: |
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Fax #: |
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| Trade Reference 3 |
| Organization: |
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Street Address: |
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| City: |
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State/Prov: |
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| Zip/Postal: |
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Contact Name: |
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| Phone #: |
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Fax #: |
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| Question / Comment |
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| By submitting this form, applicant understands and agrees that all
invoices are due and payable 30 days after our invoice date. All merchandise
shall remain the Seller's property. Title does not pass to the buyer until all
merchandise is paid in full. In the event it becomes necessary to file suit to
enforce payment, such suit may be brought in at seller's option, and De Boer
Tool will be entitled to recover all collection costs, attorney's fees, and
other costs associated with such suit. All transactions are deemed, made,
payable and due at De Boer Tool's principal place of business in Mississauga,
Ontario.
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De Boer Tool 1-888-486-2561
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