Form for opening your account and establishing your credit limit - IGP GLASS

Legal Company Name

Address

City

Postal Code

Telephone

Fax

Email Address

Mobile Phone

Corporation

Partnership

Single Owner

Other

Other Corporate Status Information

In Business Since

Type of Business

GST Number

PST Number

Person in Charge of Accounts Payable

Person in Charge of Accounts Purchasing

Projected Monthly Amount of Purchases

PRINCIPAL SHAREHOLDER(S) / OWNER(S)

During this step, we would like to have some information about Owner(s) or Shareholder(s)

How many ShareHolders / Owners does have?

Shareholders Number

one

Two or more

Principal Shareholder / Owner #1 Name

Principal Shareholder / Owner #2 Name

's Information

Please provide us with some information regarding Owner or Shareholder

Owner #1 Residential Address

Owner #1 City

Owner #1 Province

Owner #1 Postal Code

Owner #1 Phone Number

Owner #1 Cellular

Owner #1 Email

's Information

Please provide us with some information regarding Owner or Shareholder

Owner #2 Residential Address

Owner #2 City

Owner #2 Province

Owner #2 Postal Code

Owner #2 Phone Number

Owner #2 Cellular

Owner #2 Email

MAIN BANK REFERENCE

Please provide your Bank information

Primary Bank Reference Name

Primary Bank Reference Address

Primary Bank Reference City

Primary Bank Reference Fax

Type of Bank Account

Bank Account Number

MAIN SUPPLIERS REFERENCE

Please enter your main suppliers Information

Suppliers Number

One

Two

Tree

Four or More

With only one reference, the COD mode will be automatically assigned to your payment method.

Principal Supplier #1 Name

Principal Supplier #2 Name

Principal Supplier #3 Name

Principal Supplier #4 Name

's Information

Please provide us with some information regarding supplier

Supplier #1 Phone

Supplier #1 Fax

Supplier #1 Email

's Information

Please provide us with some information regarding supplier

Supplier #2 Phone

Supplier #2 Fax

Supplier #2 Email

's Information

Please provide us with some information regarding supplier

Supplier #3 Phone

Supplier #3 Fax

Supplier #3 Email

's Information

Please provide us with some information regarding supplier

Supplier #4 Phone

Supplier #4 Fax

Supplier #4 Email

TERMS & CONDITIONS AGREEMENT

Please agree to our terms & conditions before signing & submitting this form.

I/WE CERTIFY THAT THE INFORMATION SUBMITTED IN THE PRESENT CREDIT APPLICATION IS CORRECT AND TRUE, KNOWNING THAT International Glass Products Inc. WILL BASE THE OPENING OF MY/OUR ACCOUNT AND CREDIT LIMIT ON THIS INFORMATION AND I/WE AGREE TO ABIDE BY THE TERMS AND CONDITIONS LISTED BELOW.

GIVEN THAT I/WE AM/ARE AUTHORISED TO MAKE PURCHASES ON MY/OUR ACCOUNT, UP TO THE CREDIT LIMIT ESTABLISHED BY INTERNATIONAL GLASS PRODUCTS INC. AT THEIR SOLE DISCRETION & APPRECIATION; I/WE AGREE TO RESPECT THE FOLLOWING CONDITIONS:

• I authorize International Glass Products Inc. to carry out or to have carried out by my bank, suppliers or through other sources, credit checks on my company or myself.

• Any or all changes brought to the corporate structure of my/our company or its owners and shareholders must be immediately communicated in writing to International Glass Products Inc.

• I/We agree that International Glass Products Inc. can, at their sole discretion, suspend some or all of the credit privileges on my/our account.

• The first order will be C.O.D.

• I/We agree to respect the terms of “Net 30 days”

• If a check is returned “NSF”, an extra charge of $25.00 will be added.

• I/We agree to pay all recovery and/or legal fees that International Glass Products Inc. would have to incur if it became necessary to take such measures in the collection of amount(s) due and unpaid in my/our account.

• All sums due after the expiration of terms will be submitted to a lawyer for collection. I agree and engage to pay to International Glass Products Inc. an additional amount of fifteen percent (15%) of the sum due as liquidated damages.

• All unpaid merchandise remains the property of International Glass Products Inc.

• I/We are personally liable to International Glass Products Inc. for all unpaid invoices.

By signing with an electronic signature, I agree that such signature will be as valid as handwritten signatures and considered originals to the extent allowed by applicable law.

Signed at

Province of

Signature Date (DD/MM)

Signature Year (YY)

Signature

Sign Here

Signatory Name In Printed Letters

Signatory Email

Signatory Title

Legal

After Clicking on the "Submit your credit request" Button, processing and sending the form data can take few seconds. Please wait until a confirmation display.

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IGP Glass Inc is committed to ensuring that the collection and processing of data carried out by our igpglass.ca site comply with the General Data Protection Regulations (GDPR) and the Data Protection Act. To know and exercise your rights, particularly concerning the withdrawal of consent to the use of collected data, please contact us.