BMC

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Credit application

By opening a "30 days net" account at BMC, you'll be able to purchase quality parts at competitive prices, backed by a solid warranty, and you won't have to worry about having to pay upon delivery.

* Mandatory fields

IDENTIFICATION

Company’s legal name: *
Name under which the company does business: *

Billing address: *

Shipping address (if different)	* * *

Phone number: *
Fax: *

Email: *

GST #:
Q.S.T. #:
H.S.T. #:

OWNERS OR PRESIDENT

Name: *
Title: *
Adress: *
S.I.N.	Information to be confirmed by phone.
Date of birth	Information to be confirmed by phone.

Name:
Title:
Adress:	* * *
S.I.N.	Information to be confirmed by phone.
Date of birth	Information to be confirmed by phone.

GENERAL INFORMATION

Type of business: *
Founding date: *
Number of years under current owner: *
Place of business: *	OwnerLessee
Number of employees:
Total annual sales:

Cheque signatories:
Accounts payable manager (suppliers):
Purchase order required:	YesNo

Requested credit limit:

BANK REFERENCE

Bank branch: *	Information to be confirmed by phone.
Adress: *	Information to be confirmed by phone.
Phone number: *	Information to be confirmed by phone.
Account number: *	Information to be confirmed by phone.
Manager’s name: *	Information to be confirmed by phone.

SUPPLIER REFERENCES

Specify 3 references with whom you have established lines of credit similar to the one requested.

Name: *
Adress: *
Phone number: *
Fax: *

Name: *
Adress: *
Phone number: *
Fax: *

Name: *
Adress: *
Phone number: *
Fax: *

CLIENT AGREEMENT

Our terms:

Payable net 30 days after the statement of account. 2% interest per month (24% per annum) will be added to any unpaid accounts under the terms. All goods purchased at Pièces de carrosserie BMC Ltd. remain its property until full payment of invoices.

I am authorized to apply to open an account and I am personally, jointly and severally liable for this account until full and final payment. I authorize the supplier or its credit firm to obtain all the financial information and other references that it deems necessary and any person is hereby authorized to provide it with such information.

TERMS AND CONDITIONS READ AND ACCEPTED