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Corporate Business Credit Applications

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Corporate Business Credit Applications Powered By Docstoc
					                    CUSTOMER INFORMATION / CREDIT APPLICATION
CLIENT INFORMATION
Business legal name:
DBA:                                                                      ID # (Federal Tax or IRS #):

BILLING ADDRESS:
Street:                                                               City:
State / Province:                                                     (Zip) code:

Telephone:                                                            Fax:

SHIPPING ADDRESS:
Street:                                                               City:
State / Province:                                                     (Zip) code:

Telephone:                                                            Fax:

Other store locations:         1)                                                   2)


Owner of building:                  Sq feet:                          Rent:                  Annual sales:
PLEASE ADVISE IF RELATED TO OTHER CORPORATIONS:

OWNERS AND/OR PRINCIPALS
1- Name:                                          Title:                                     Tel.:
    Street:                                       City:                                      (Zip) code:

2- Name:                                          Title:                                     Tel.:
    Street:                                       City:                                      (Zip) code:

3- Name:                                          Title:                                     Tel.:
    Street:                                       City:                                      (Zip) code:

ACCOUNTS PAYABLE
Name:                                     Tel.:                                          Fax:
                                                                                         E-mail:
PURCHASER
Name:                                     Tel.:                                          Fax:
                                                                                         E-mail:
Date business started:                            GST #:                                 PST #:

Type of business:        sporting goods            gift & novelties             others
MAJOR SUPPLIERS
1- Name:                                                   Address:
        Tel.:                                            Fax:                                  Account #:

2- Name:                                                   Address:
        Tel.:                                            Fax:                                  Account #:

3- Name:                                                   Address:
        Tel.:                                            Fax:                                  Account #:

4- Name:                                                   Address:
        Tel.:                                            Fax:                                  Account #:

FINANCIAL INFORMATION
Bank:                                                      Address:
Tel.:                                               Fax:                                       Account #:
     I HEREBY AUTHORIZE MY ACCOUNTANT AND MY BANK TO FURNISH ALL NECESSARY INFORMATION TO THE SELLER
        IN ORDER TO OBTAIN FROM THE SELLER A LINE OF CREDIT. FURTHERMORE, I ALSO AUTHORIZE THE SELLER TO
      CONDUCT ALL PERTINENT CREDIT INVESTIGATIONS CONCERNING THE BUYER, ITS OWNERS AND/OR PRINCIPALS.
AUTHORIZED BY:                                             SIGNATURE:                                         DATE:
                                (please print)

                                                              CONDITIONS
            THE APPLICANTS SIGNATURE ATTESTS FINANCIAL RESPONSIBILITY AND THAT THE INFORMATION AND
      STATEMENTS IN THIS CREDIT PROFILE ARE TRUE AND ACCURATE, AND ARE FOR THE PURPOSE OF ESTABLISHING
                 AND OPEN LINE OF CREDIT. IN GLAS CO CORPORATION LTD. IS HEREBY AUTHORIZED TO
              OBTAIN ANY INFORMATION IT CONSIDERS NECESSARY FROM ANY SOURCE CONCERNING THE
                 STATEMENTS IN THIS CREDIT PROFILE. THE APPLICANT FURTHER AGREES TO PAY FOR ALL
                         PURCHASES IN ACCORDANCE WITH THE PAYMENT TERMS ESTABLISHED:
1-    Service charges or interest charges of 2% per month or 24% per year on all accounts past due.
2-    No merchandise may be returned without prior authorization.
3-    Product remains our property until paid in full.
4-    F.O.B. our plant (Sherbrooke).
5-    No claims will be accepted ten (10) days following receipt of merchandise.
6-    Customer accepts responsibility for collection and/or attorney fees if ever the account is placed
      in the hands of a third party for collection purposes.
      THE UNDERSIGNED ACKNOWLEDGES HAVING READ AND UNDERSTOOD ENTIRELY THE PRESENT AGREEMENT
     AND ALSO DECLARES THAT THE BUSINESS IS SOLVENT AND CAN MEET ITS CURRENT AND FUTURE COMMITMENTS
        TO THE SELLER AND THAT NOTHING LEADS HIM TO BELIEVE THAT THE BUSINESS MAY BECOME INSOLVENT.

Business legal name:                                                             LINE OF CREDIT REQUESTED:           $
                                                 (please print)

Name:                                                                   Title:
                                (please print)                                                      (please print)

Signature:                                                              Date:

                                           IN GLAS CO CORPORATION LTD.
                             1060 CHERBOURG STREET, SHERBROOKE (QUEBEC) Canada J1K 2N8
                               Tel.: (819) 563-2202 Fax: (819) 566-1846 Toll free: (800) 563-2202

           In Glas Co Corporation Ltd. reserves the right to use this information at any time during our business relationship
                     Customer information ~ Credit application
 APPROVED BY :


                                                                                                                             $
                                                                                                                              credit line requested



Business legal name:
Doing Business As:                                                                      GST # (Canada):
Corporate e-mail address:                                                       Federal ID/IRS # (U.S.A.):

                                                                                                             *** please contact us if multiple
BILLING ADDRESS:                                                        SHIPPING ADDRESS:                         shipping addresses ***
Street:                                                                 Street:
City:                                                                   City:
State/ Province:                                                        State/ Province:
Country:                       Zip/Postal code:                         Country:                                  Zip/Postal code:

Telephone:                                                              Telephone:
Fax:                                                                    Fax:


Type of business:             sporting goods                 gift & novelties              team:
                                                                                                                       (specify which league)
PLEASE ADVISE IF RELATED TO OTHER CORPORATIONS:
Date business started:
Lessor:                                       Rent:                       Sq feet:                 Annual sales:



PRINCIPAL SHAREHOLDERS / OWNERS:
1- Name:                                                  Title:                                          Tel.:
    Address:                                                                                              Zip code:
2- Name:                                                  Title:                                          Tel.:
    Address:                                                                                              Zip code:


ACCOUNTS PAYABLE
Name:                                             Tel.:                                            Fax:
                                                  E-mail:
PURCHASER / BUYER
Name:                                             Tel.:                                            Fax:
                                                  E-mail:
Please put your initials on this page:
                                             REQUESTED PAYMENT METHOD

                                    PAYMENT METHOD                                    FIRST                    FUTURE
                                                                                     ORDER                     ORDERS
                                        Bank transfer
                                                                                              OVERSEAS ONLY
                                 (Add $20.00 bank fees)

                                          Credit Card


                             Cash in advance or money order

                                Wish to get payment terms
                                                                                        N/A
                           (Complete and sign following page)


                                           "If using Credit Card, please complete following section:"


                               Visa card                           Card number:
                               Mastercard                          Expiry date:


                    Maximum amount per transaction (if required) :


                    "I",                                       am the legal holder of this credit card and accept regulations
                              Card holder (print letters)      outlined by Visa or Master Card.


                            "Also, the applicant’s signature attests acceptance of conditions outlined
                                                 by InGlasCo Corporations Ltd.:"
                           1. No merchandise may be returned without prior authorization.
                           2. Product remains Vendor's property until paid in full.
                           3. Shipments are F.O.B. our plant (Sherbrooke).
                           4. No claims will be accepted ten(10) days following receipt of merchandise.
                           5. Part orders may be shipped & invoiced for.

This authorization is valid up to                                  or until a written revocation is received by InGlasCo
                                                        Date       Corporations Ltd. provided all amounts due are paid thereto.


Date:                                                             Signature
                                                                                                 Card holder (print letters)
                                        Thank you for your cooperation and quick return of this form.
                      This will enable InGlasCo Corporations Ltd. to speed up the process of shipping your order.
                                 "To request payment terms, please complete next page"
MAJOR SUPPLIERS
1-       Company:                                                  Contact:
         Tel.:                                                     Fax:                                           Account #:
2-       Company:                                                  Contact:
         Tel.:                                                     Fax:                                           Account #:
3-       Company:                                                  Contact:
         Tel.:                                                     Fax:                                           Account #:

FINANCIAL INFORMATION
Bank:                                                              Address:
Tel.:                                                              Fax:                                           Account #:

         IN ORDER FOR YOU TO DECIDE UPON THE ISSUANCE OF CREDIT I/WE HEREBY AUTHORIZE OUR ACCOUNTANT AND BANK TO
            FURNISH YOU WITH ALL NECESSARY INFORMATION. I/WE ALSO AUTHORIZE YOU TO CONDUCT ALL PERTINENT CREDIT
            INVESTIGATIONS CONCERNING THE BUYER, ITS OWNERS AND/OR PRINCIPALS AND TO EXCHANGE FINANCIAL & OTHER
             RELEVANT INFORMATION WITH YOUR SUPPLIERS, CREDIT AGENCIES AND ANY OTHER SOURCE DEEMED NECESSARY
AUTHORIZED BY:                                                     SIGNATURE:                                                       DATE:
                                         (please print)

                                                                          CONDITIONS
                 THE SIGNATURE BELOW ATTESTS THAT THE APPLICANT IS FINANCIALLY RESPONSIBLE AND SOLVENT & THAT THE
                 INFORMATION AND STATEMENTS IN THIS CREDIT APPLICATION ARE TRUE AND ACCURATE. FOR THE PURPOSE OF
        ESTABLISHING AN OPEN LINE OF CREDIT THE APPLICANT FURTHER AGREES TO PAY FOR ALL PURCHASES IN ACCORDANCE
                                                 WITH THE PAYMENT TERMS HEREINAFTER ENUMERATED:
1-       Service charges or interest charges of 2% per month or 24% per year on all accounts past due.
2-       No merchandise may be returned without prior authorization.
3-       Product remains our property until paid in full.
4-       F.O.B. our plant (Sherbrooke).
5-       No claims will be accepted ten (10) days following receipt of merchandise.
6-       Customer accepts responsibility for collection and/or attorney fees if ever the account is placed in the hands of a third party for collection purposes.
7-       Part orders may be shipped and invoiced for.

Fill out and sign if you apply for a credit line with INGLASCO CORPORATION LTD.

Business legal name:
                                                                                          (please print)
Name:
                                                                                    (please print)
Title:

Signature:                                                                           Date:

           P.O. Box 431, Derby Line, VT, United States 05830 / Tel.: (819) 563-2202 Fax: (819) 566-1846 Toll free: (800) 563-2202
                    1060 Cherbourg Street, Sherbrooke, Quebec, Canada J1K 2N8 / Tel.: (819) 563-2202 Fax: (819) 566-1846
                       InGlasCo Corporations Ltd. reserves the right to use this information at any time during our business relationship

				
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Description: Corporate Business Credit Applications document sample