CREDIT APPLICATION 

 

 


   

 

Groupe Horticole Ledoux Inc.

785, rue Paul Lussier Ste-Hélène, QC (Canada) J0H 1M0
Tél : (450) 791-2222 Fax : (450) 791-2225 
Website: www.ghlinc.com email : ghl@ghlinc.com

 

 

 

FO-002   

 

Printable Version (.doc) clic here 


 

OPENING AN ACCOUNT

 

COMPANY INFORMATION

*Company name:

*Address:

*Phone:

Cell Phone:

Fax:

*Email:

Website:

DELIVERY ADDRESS
(if different)

Communication Language(s):

 French,  English,  Spanish 

 

 

OWNER(S) INFORMATION

Name:

Address:

Phone:

Birthday:

Title:

Name:

Address:

Phone:

Birthday:

Title:

Name:

Address:

Phone:

Birthday:

Title:


 

GENERAL INFORMATION

Supplier’s accounts managed by:

Email:

Phone:

Buyer’s name:

Email:

Phone:

Type of business:        Ltd             Enr.              Senc.               Other:         
Specify
:
 

Rent    Owner 

Credit limit requested:

In business since:

Monthly purchases:

Federal Tax #:

Surface area:

Provincial Tax #:

Employees:

NEQ / IRS:

Your type(s) of production:

Dun & Bradstreet number:

Sent Invoices to:

Email:

Sent Statement to:

Email:

Credit file monitoring:

Email:

Subscription to “GHL News” newslwetter :

 

Send to Email:

Your GHL representative:


 

BANK REFERENCES

Bank Name (1):

Account Number:

Address:

 

Contact:

Phone:

Bank Name (2):

Account Number:

Address:

 

Contact:

Phone:

 
BUSINESS REFERENCES  **IMPORTANT TO BE COMPLETED**

 

Name:

 

Phone:

 

Address:

 

Fax:

 

Name:

 

Phone:

 

Address:

 

Fax :

 

Name:

Phone:

 

Address:

Fax:


 

By accepting the terms, you are accepting the following terms:

  • The terms are specified on your invoice.  The last day of the month an interest is charged on past due account at the rate indicated on the invoice otherwise 1,25% by month or 15% by year;
  • All products delivered by carrier will be charge to the customer, are not insured, except if requested by the customer, the carrier will be choose by GHL Inc.  The customer who want insurance on freight, have to request insurance and pay the amount for the insurance.
  • Manufacturers warranties are available upon request.
  • I authorize your company to get credit information on my account from  the concerned agency.
  • If my account is past due, the complete balance of my account could become due including interest.  If my account is referred to collecting agency , I accept the reasonable charge by Canadian laws.
  • The following signature authorize your bank and the references listed to disclose all needed informations on your credit account,  to Groupe Horticole Ledoux Inc.
  • I will advise you if we proceed to any change on address, denomination or owners.
  • Closure of your account may occur if terms are not met.

 

TERMS ARE NET 30 DAYS  

 

*Company Name:

*Name:

I accept the terms 

Sign here

*Title:

Data signature:

*Date :