Credit Agreement

INSTRUCTIONS:  Please fill in all spaces.  The party filling out this form must either be an officer, partner or owner of your organization.  Your answers to all questions will enable us to expedite your application.





TRADE NAME(S)                          LEGAL ENTITY











BUSINESS INFORMATION:

DELIVERY ADDRESS:                          TELEPHONE #













BILLING ADDRESS

IF DIFFERENT                             TELEPHONE #











BUSINESS IS A :

LIST NAMES OF OFFICERS AND TITLE AND OR PARTNER, OWNER.













PREMISES

PRINCIPALS

NAME, DRIVERS LICENSE #, HOME PHONE #, ADDRESS, CITY, POSTAL CODE.


















BANK AND TRADE REFERENCES

ONTARIO SALES TAX EXEMPTION #

BANK NAME AND ADDRESS



















SUPPLIER NAME AND PHONE #



SUPPLIER #1       SUPPLIER #2















SUPPLIER #3 SUPPLIER #4

















The undersigned certifies the above information to be true and agrees to pay all accounts upon recipt  unless otherwise expressly agreed.  the undersigned consents to the obtain of credit and or personal information as may be required at any time in connection with the credit hereby applied for or any renewal or extension thereof and to the disclosure of any creit information concerning the undersigned to any credit reporting agency or to any person with whom the undersigned has or proposes to have financial relations.

TERMS:

1. The undersigned consents to reimburse North Ontario Food Sales the sum of $25.00 for each cheque the customer issues to North Ontario Food Sales that fails to clear the bank.

2. On default, the customer and any guarantors of the debts to be incurred agree that the lawyer's costs of recovering the debt are also payable on a solicitor and his own client basis.

I, the undersigned, fully understand and agree to the terms and conditions stated above.

Date:

Authorized Signature:

For valuable consideration received in the form of credit granted by the supplier, at the request of the undersigned, to

Full Company Name:

The Undersinged hereby guarantee(s) all present and future indeptness to North Ontario Food Sales, of Full Company:



for credit and further warrants the truth of the representations and undertakings given above.



Signed this                        Day of                      , Year

In the Province of