CREDIT APPLICATION FORM
Buyer's Gallery Blinds Corp.
Woodbridge, ON, L4L 7Y3, Canada
Tel:(905) 851-5599/Toll Free:1-866-587-2254   

Please Print, Complete, Sign and Fax to: 

Fax: (905) 851 5609 / Toll Free: 1-866-868 9171
Contact Information Billing Information
Contact Name    AP Contact Name   
Company Name    Company Name   
Address    Address   
Phone    Phone   
Fax    Fax   
E-mail    E-mail   
General Company Information
PST exempt #    Years in business    Years
Legal Structure    At present location    Years
Type of business    At previous location    Years

Bank references
Bank Name #1    Bank Acct# / Type   
Bank Address    Bank City/Prov/Zip   
Bank Contact    Bank Phone   
Bank Name #2    Bank Acct# / Type   
Bank Address    Bank City/Prov/Zip   
Bank Contact   Bank Phone   

Trade References
Company Contact

Phone

 Fax
           
           
          
          
Signature & Authorization
All accounts have to be paid when order is ready to ship until a credit application has been completed, reviewed and approved. Payment Terms after account has been approved are NET 30 days from date of invoice. Any balance so remaining unpaid shall bear interest at the rate of 1.5% per month (18% per annum), until paid in full. NSF cheques will be subject to a $25.00 charge. Orders in production cannot be changed or cancelled. Buyer's Gallery Blinds Corp. in not responsible for errors made in ordering. Customized products cannot be returned unless for warranty purposes or errors made during manufacturing/customizing.
PRIVACY POLICY AND CONSENT: I/we acknowledge that Buyer's Gallery Blinds Corp. may collect personal information, as defined by the Personal Information Protection and Electronics Documents Act or other provincial legislation and I/we authorize Buyer's Gallery Blinds Corp. to conduct all credit investigations necessary for approval of this application.
Name of Authorized Representative:

 

 Date:

 
Agreed and Accepted, Signed:

 

 Title: