COMPANY INFORMATION

Full Company Name:

Billing Address:

City: Province: Postal Code:

Phone #: Fax #: E-Mail:

Purchasing Contact:

Accounts Payable Contact:

Type of Business: Sole Proprietor Partnership Corporation

Name of Owners/President: 1) 2) 3)

GST #: PST #:

Estimated Annual Sales: Number of Employees:

CREDIT INFORMATION

Bank Name: Phone #:

Address: Fax #:

Account Number: Contact:

CREDIT REFERENCES

Company Name: Phone #:

Address: Fax #:

Company Name: Phone #:

Address: Fax #:

Company Name: Phone #:

Address: Fax #:

TERMS & CONDITIONS

First Orders are C.O.D. Net 30 Days on credit approval. All amounts outstanding after 60 days are considered delinquent.

Global Fabricating reserves the right to withhold shipments if account balance is overdue.

Credit amount to be advised. Service charges will be charged at the rate of 2% per month on past due invoices.