APPLICATION FOR CREDIT - JUST HIT PRINT AND THIS WILL PRINT OFF YOUR SYSTEM Corporate Printers 101 Schneider Rd. Kanata, Ontario K2K 1Y3 Tel: (613) 591-2335 Fax: (613) 591-1817 admin@corporate.on.ca Business Name:_________________________________________________ Phone#:_________________________ Fax#:__________________ Business Address:_______________________________________________________________________________________________________ Type of Business:_____________________________________________ How long in Business:____________________________________ Principal Owner(s):____________________________________________ Phone#:________________________________________________ Address:______________________________________________________________________________________ Sin#:____________________ Ownership: () Sole Owner () Partnershlip () Corporation Has firm or Principals ever been bankrupt? () Yes () No If yes, explain:________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ Person completing application:____________________________________________ Title:_______________________________________ Credit Desired: $ _________________________ Trade References: (Local) Name & Address:________________________________________________ Phone#:________________________ Fax#:__________________ Name & Address:________________________________________________ Phone#:________________________ Fax#:__________________ Name & Address:________________________________________________ Phone#:________________________ Fax#:__________________ Business Bank & Address:_______________________________________________________________________________________________ Account#:______________________________________________________ Phone#:________________________ Fax#:__________________ OUR TERMS ARE N30 DAYS, HOWEVER IF YOU ARE CONSTANTLY DELINQUENT, OUR TERMS WILL CHANGE TO C.O.D. STATUS. PST Exempt# (if applicable):_____________________________________________________________________________ Persons authorized to charge on this account: 1)___________________________________________________________ 2)___________________________________________________________ CREDIT AGREEMENT Customer verifies that the above information is true and correct and hereby grants permission for a person to furnish to Corporate Printers Ltd. any and all information which may be requested. Customer also agrees to pay for any and all deliveries under and pursuant to its accounts, whether ordered by the customer or by any person representing himself/herself to be an agent, employee or representative of the company. The undersigned agrees to pay all invoices within the following terms of the sale; payment due 30 days from date of invoice; past due thereafter are subject to a late payment charge of 2% per month (24% per annum). N.S.F. cheques will be subject to a $30.00 service charge. Purchaser agrees to pay in accord with the foregoing terms of sale and further agrees to pay all collection costs and attorney's fees necessary to collect past due amounts, as permitted by law. The undersigned personally guarantees and personally assumes full and ultimate responsibility for payment of all invoices generated under the terms and conditions outlined above. I understand and agree to the above terms. Name:_________________________________________________________________ Title:________________________________________ (Print) Signature:_______________________________________________________________ Date:______________________________________