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)

Email (for Confirmation) *

Amount 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 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 (Type or Draw) *

Witness Name / Signature (Type or Draw)

Need a business partner or witness on another computer to sign? Save & share a link so they can add their signature.

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

✓

Application Received

Your Application Has Been Sent to Elite

Thank you! Your payment terms application has been securely transmitted to your Elite Promotional Marketing representative and our accounts team for review.

Company

Elite Representative

Confirmation Email Sent To

Status Submitted for Review ✓

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