Applicaton For Credit Form Page 2

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10406 -31A Avenue
Edmonton, AB T6J 3B4
Tel 780.905.1871
Fax 780.434.7958
If this application is accepted and credit is extended, the applicant shall be deemed to have agreed to
the following terms and conditions. If accounts are not promptly paid when due, and this account is
collected by a collection agency or an attorney, by suit or otherwise, applicant agrees to pay all
collection fees and/or attorney’s fees and cost of collection. Terms if not otherwise specified are NET
30 Days. Interest shall also be added to any unpaid balance at the rate of 1.5% per month. Which is
equivalent to 18% per annum, unless such interest is prohibited by any existing local laws and then
the maximum allowed under such local statues shall be in effect.
Personal Guarantee of Applicant
_________________________________________________________________
Company Authorization ________________________ Title __________________
Date ________
Partnership:
Name___________________________________ Phone (___)________________________
Address ______________________ City ____________ Prov ____ Postal Code_________
Name___________________________________ Phone (___)________________________
Address ______________________ City ____________ Prov ____ Postal Code_________
Individual:
Name___________________________________ Phone (___)________________________
Address ______________________ City ____________ Prov ____ Postal Code_________

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