If this is your first time ordering with us and you require credit, please tell us about your business by filling out our credit application.  Print off a copy and fax it back to us.

 


 

Confidential Credit Application and Agreement

 

with Cookstown Greens Inc.

6321 9th Line R.R. #3

Thornton, Ontario  L0L 2N0

Phone: (705) 458-9077

Fax: (705) 458-1707

 

_____________________________________________________

Operating Name                                                                                                  Legal Name

 

Delivery Address:                                                              Mailing Address (if different):

_____________________________________________________

Address                                                                                                                 Address

_____________________________________________________

City                         Province                                Postal Code                           City                     Province                Postal Code

_____________________________________________________

Telephone                                                         Fax                                             Telephone                                                 Fax

_____________________________________________________

Accounts Payable Contact                                                                                 Telephone                                                    Fax

_____________________________________________________

Name of Bank                                      Address                                                 Telephone                                Account Number

 

Owners if a proprietorship or partnership,

_____________________________________________________

Name                                                     Residence Address                                                                                        Telephone

_____________________________________________________

Name                                                     Residence Address                                                                                        Telephone

 

Directors if a corporation,

_____________________________________________________

Name                                                                     Title                                                                                                  Telephone

_____________________________________________________

Name                                                                     Title                                                                                                  Telephone

_____________________________________________________

Name                                                                     Title                                                                                                  Telephone

 

Trade References (3):

_____________________________________________________

Business                              Contact                                                  Address                                                             Telephone

_____________________________________________________

Business                              Contact                                                  Address                                                             Telephone

_____________________________________________________

Business                              Contact                                                  Address                                                             Telephone

 

I hereby certify that the above information on this application is true and correct. 

I agree that invoices are to be paid by the 15th of the month following each invoice. 

 

_____________________________________________________

Name                                                     Title                                                        Date                                               Signature

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Cookstown Greens, 6321 Line 9 RR#3, Thornton, Ontario  L0L 2N0  Canada   •   Tel: (705) 458-9077   •   Fax: (705) 458-1707

•   Web: cookstowngreens.com   •   Email: info@cookstowngreens.com

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