Credit Application

Please complete the fields below to submit your credit application online, or download a PDF copy of our credit application.

Store

Please submit this Credit Application to... -- Select -- Hoppy Copy Cambridge Hoppy Copy Guelph Hoppy Copy Kitchener Hoppy Copy Waterloo Maximum Credit Applied For

Company Information

Name of Firm Is Business Incorporated? Yes No Date Established (dd/mm/yyyy)

Contact Information

Address City Province Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Postal Code Telephone Fax E-mail Mailing Address (if different from above)

Officers / Owners (Corporations Only)

List of Officers / Owners of Firm Primary Contact

Billing Information

P.S.T. Number G.S.T. Number Are Purchase Orders Required to charge your account? Yes No

Banking Reference

Name of Bank Bank Officer

Business Reference #1

Name Address City Province Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Postal Code Telephone Fax

Business Reference #2

Name Address City Province Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Postal Code Telephone Fax

Business Reference #3

Name Address City Province Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Postal Code Telephone Fax

Terms

Interest at the rate of 1.5% per month (18% per annum) will apply to accounts over 30 days. Orders are considered complete if delivered quantity is over or under by 10%. Invoice will be adjusted accordingly.
  I agree to the terms listed above. Name Date (dd/mm/yyyy)  

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