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Credit Application                                                                                    506.455.5406

BUSINESS CONTACT INFORMATION
Company name:
Phone:                                  Fax:                               E-mail:
Registered company address:
City:                                                                      Prov:                                         Postal Code:
Date business commenced:                                                   Business number:
Sole proprietorship:                        Partnership:                   Corporation:                                  Other:


BUSINESS AND BANK INFORMATION
Bank name:
Bank address:                                                             Phone:
City:                                                                     Prov:                                          Postal Code:
Type of account                                       Account number


BUSINESS/TRADE REFERENCES
Company name:
Address:
City:                                                                     Prov:                                          Postal Code:
Phone:                                  Fax:                              E-mail:
Type of account:
Company name:
Address:
City:                                                                     Prov:                                          Postal Code:
Phone:                                  Fax:                              E-mail:
Type of account:
Company name:
Address:
City:                                                                     Prov:                                          Postal Code:
Phone:                                  Fax:                              E-mail:
Type of account:

AGREEMENT

WE   HEREBY AUTHORIZE T HE ABOVE LIS T ED BANK AND TRADE R EFERENCES TO RELEASE INFORMATION TO AUTHENTIC PRINT AND ART SERVICES .                  F OR
USE IN EVALUATION OF THIS CREDIT REQUEST WE AGREE TO COMPLY WITH YOUR TERMS .             A LL   INVOICES ARE TO B E PAI D   30   DA YS FROM THE DATE OF
THE INVOICE AND TO PAY INTEREST OF     2%   PER MONTH ON ALL PAS T DUE INVOI CES .   WE   FURTHER AGREE TO R EASONABLE ATTORNEY F EES OF NOT
LESS THAN   25%   OF THE BALANCE DUE , IF THE ACCOUNT IS TU RNED OVER FOR C OLLEC TION OR A SUIT IS FI LE D .

C LAIMS   ARISING FROM I NVOICES MUST BE MADE WITHIN SEVEN WORKING DAYS .



S IGNATURES

Date:                                                                      Signature:

                                                                           Title:


                             539 PEDERSON CRESCENT - FREDERICTON - NEW BRUNSWICK. E3B 2Z1
                               TEL: 506.470.5545 - FAX: 506.455.5406 - WWW.GICLEEARTPRINT.CA

				
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