485 Finchdene Square, Unit 5, Scarborough, Ontario  M1X 1B7

Phone:   (416) 752-4382          E-mail:      info@kroegerinc.com

Fax:       (416) 752-6022          Website:    www.kroegerinc.com

 

 

CUSTOMER CREDIT APPLICATION

 

 

Account Terms Requested:       COD

                                              Credit Card

                                              Net 30 Days

 

Store Name:       

Street Address:       

City:       

Province:       

Postal Code:       

Telephone:       

Fax:       

Email:       

Store Manager’s Name:       

Owner’s Name:       

Home Street Address:       

City:       

Province:       

Postal Code:       

Home Telephone:       

Home Fax:       

  Corporation

  Partnership

  Sole Proprietorship

GST No.:       

PST No.:       

 

BANKING INFORMATION

Name:       

Street Address:       

City:       

Province:       

Postal Code:       

Telephone:       

Fax:       

Contact Name:       

Account Type:       

Bank Transit No:       

Account No.:       

 

TRADE REFERENCES (3)

Company Name:       

Street Address:       

City:       

Province:       

Postal Code:       

Telephone:       

Fax:       

Company Name:       

Street Address:       

City:       

Province:       

Postal Code:       

Telephone:       

Fax:       

Company Name:       

Street Address:       

City:       

Province:       

Postal Code:       

Telephone:       

Fax:       

 

 

 

 

Please Read Carefully

 

I/We understand the following and will abide by your company regulations:

 

1.       Notify Kroeger Inc. of any changes in ownership and/or address of my/our company.

 

2.       If granted credit, my/our company agrees to pay all invoices within the terms set out for me/us.

 

3.       It is agreed that my/our company will pay 1.5% interest per month, which is 18% per annum, on all past due invoices.

 

4.       It is agreed that my/our company will become C.O.D. terms, if I/we fail to pay invoices within the terms set out for me/us.

 

5.       My/Our company’s financial condition is satisfactory and can meet all financial obligations.

 

6.       If my/our company defaults payment on any outstanding valid invoices, I/we agree to pay all attorney, court and collection expenses and other expenses that may be incurred.

 

I/We guarantee the full payment by my/our personal endorsement(s) on all amounts due on this account.

 

I/We have read and understand the terms of credit and conditions as stated above.

 

 

 

 

 

 

_________________________________________             _________________________________________

                       Authorized Signature                                                                              Authorized Signature

 

                                                                                                                                                     

                              Print Name                                                                                               Print Name

 

                                                                                                                                                     

                                 Date                                                                                                         Date

 

 

This document must be completed in its entirety and signed by the person(s) responsible for the above account and store.