Credit Application | Start the process with Constructive Solutions

Billing Information

What Constructive Solutions division are you applying for credit? Check all that apply.(Required)

Business/Corporation/Name of Applicant:(Required)

Your Address(Required)

Street Address

Address Line 2

City

Postal Code

Do you have a separate billing address?

Yes

No

Your Address

Street Address

Address Line 2

City

Postal Code

Company Principals/Officers

Name:

Address:

Social Insurance Number:

Phone:

Birthdate

Name:

Address:

Social Insurance Number:

Phone:

Birthdate

Name:

Address:

Social Insurance Number:

Phone:

Birthdate

Name:

Address:

Social Insurance Number:

Phone:

Birthdate

Credit References

Reference 1

Name

Phone:

Address

Reference 2

Name

Phone:

Address

Trade References

Reference 1

Name

Phone:

Address

Reference 2

Name

Phone:

Address

Reference 3

Name

Phone:

Address

Banking Information

Name/Branch:

Address:

Bank Account #:

Contact Name:

Phone:

Personal Guarantee

The undersigned “Guarantor” for and in consideration of the extension of credit by Constructive Solutions to the Company, hereby covenants and agrees with Constructive Solutions to be personally liable to Constructive Solutions for all payments due and owing by the Company to Constructive Solutions from time to time as if the Guarantor had been the principal debtor.

SIGNED, SEALED AND DELIVERED by the Guarantor in the presence of:

Name

First

Last

Signature

Date

SIGNED, SEALED AND DELIVERED by the Guarantor in the presence of:

Name(Required)

First

Last

Address:

Occupation:

Signature

Terms Of Sale

TERMS OF SALE ARE NET 15 DAYS FROM DATE OF INVOICE, and shall include Goods and Services Tax. All invoices not paid by the 16th day from the invoice date will be considered PAST DUE and may cause interruption of your credit extension unless arrangements are made with our credit department. Application authorizes the creditor to make inquiry of financial and related matter for the purpose of qualifying Applicant for line of credit. It is understood that credit application and account agreement in no way obligates Constructive Solutions to extend credit to the undersigned or its company. In the case suit or action is commenced to collect on any past due invoices, Applicant agrees that Constructive Solutions shall have the right to bring suit against the Applicant and if this occurs Applicant agrees to pay the cost of the collection including reasonable fees. Applicant further agrees that the venue of any suit may be laid in the appropriate court in the Province of business and the laws of the Province of business shall apply in regard to any collection proceedings for the Past Due invoices. We also understand that Past Due balances may be subject to a finance charge of 2% per month or 24% per annum as may be regulated by Provincial or Federal legislation and agree to pay said charges. By Execution of this application, and upon its acceptance by Constructive Solutions, the undersigned agrees to be bound by Constructive Solutions Terms and Conditions of line of credit now existing (as printed on both sides of this form hereof) and as hereafter amended. The undersigned also authorizes the above named bank to release credit information to Constructive Solutions relating to this application.

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COMPANYCredit Application

Billing Information

Business Information

Company Principals/Officers

Credit References

Trade References

Banking Information

Personal Guarantee

SIGNED, SEALED AND DELIVERED by the Guarantor in the presence of:

Terms Of Sale

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