Payment Terms Application

Apply for Net 30 Payment Terms

Complete this form online and your application will be sent directly to your Elite representative and our accounts team.

01 · Company Information

Business & Billing Details

Company Name *

Date *

Street Address *

City *

Prov *

Postal Code *

Mailing address is the same as street address

Phone *

Fax (Optional)

Amount of Credit Requested *

Nature of Business *

P.O. Required? *

Yes No

Company is a: *

Corporation Partnership Proprietorship

Date Established *

02 · Principals / Owners

Company Principals

03 · References

Bank & Trade References

Bank Reference

Bank Name *

Contact Name

Bank Address / Branch *

Account No. *

Phone *

Fax (Optional)

04 · Authorization & Signature

Terms Agreement & Sign-Off

I/We and of (hereinafter referred to as the corporate customer), apply for credit for the supply of goods, services and materials in accordance with the application for credit concurrently made. I/We further agree to pay your account within your terms of payment, being net 30 days following purchase, to pay 2% interest and service charges per month (24% per annum) on overdue accounts and I/we assure full responsibility for any costs incurred, including legal fees or collection of the account. I/We understand and consent to you obtaining a credit report containing credit information with this application.

Dated at (City) *

Province *

Date Signed

Principal 1 Signature (Draw below) *

Witness Name / Signature

Principal 2 Signature (Optional)

Witness 2 Signature (Optional)

🔒 Encrypted & transmitted securely to your Elite Promotional Marketing representative.