APPLICATION FOR CREDIT

Business Information
*Business Name:
 
*Address:
*City:
*Province:
*Postal Code:
 
*Telephone:
*Fax:
Email:
 
*Business (Category):
(ex. retail)
*Type:
Limited Company
Partnership
Proprietorship
*Shipping Address:
(if different)
Related Companies:
 
*Years in Business:
*Years at Current Location:
 
*PST Exemption: No Yes        PST#:
*GST Exemption: No Yes        GST#:

Bank Reference
*Name:
*Account #:
*Telephone:
*Contact:
 

Principals
*Name:
*Title:
*Home Tel:
*Home Address:
*Home City:
 

References
*1. *Tel:
2.   Tel:
3.   Tel:
 

Miscellaneous
*Type of Business:
*Annual Sales:
*Accept B/O's: No Yes  
*P.O. Required: No Yes  
*No. of Employees:
 
*Purchasing done by:
*Safety officer:
*Accounts payable:
 
*# Invoice Copies Required:
*Ship Via:
*Account #:
*Delivery Timeframe:
Same Day
Overnight Delivery
Regular 2-3 days
 
*Method of Payment:

Cheque
Visa
MasterCard
Amex

Account #:

 
I / We understand the terms of sale are: Payment due 30 days
after date of invoice. A credit charge of 2% per month
(26.8% per annum) will be charged on all overdue accounts.
Signed:

(You can insert an X.509, PGP, or
other digital certificate recognized
by the Government of Canada.

Alternatively, leave this field blank
and we will fax you a final
authorization form.)
Title:
 
In consideration of Treen Gloves & Safety Products Ltd.,
hereinafter called "The Company" extending credit to:
* ,
hereinafter called "The Customer" I / We the undersigned
do jointly and severally, hereby guarantee to The Company
full and complete payment of all trade debts owing now
or which shall at anytime hereafter become due to
The Company by The Customer.

Signed this July 31, 2010
(Approximately 3:48 pm):
Witness:
Signed:

(You can insert an X.509, PGP, or
other digital certificate recognized
by the Government of Canada.

Alternatively, leave this field blank
and we will fax you a final
authorization form.)
Name:
 
Witness:
Signed:

(You can insert an X.509, PGP, or
other digital certificate recognized
by the Government of Canada.

Alternatively, leave this field blank
and we will fax you a final
authorization form.)
Name: