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Toll-Free: 1–866–587–2254

Credit card processing form

CREDIT APPLICATION FORM Buyer's Gallery Blinds Corp.
Woodbridge, ON, L4L 7Y3, Canada
Tel:(905) 851-5599/Toll Free:1-866-587-2254
Please Print, Complete, Sign and Fax to: (905) 851 5609 / Toll Free: 1-866-868 9171
Contact Information Billing Information
Contact Name
AP Contact Name
Company Name
Company Name
Address
Address
Phone
Phone
Fax
Fax
E-mail
E-mail
General Company Information
PST exempt #
Years in business  Years
Legal Structure
At present location  Years
Type of business
At previous location  Years
Bank references
Bank Name #1
Bank Acct# / Type
Bank Address
Bank City/Prov/Zip
Bank Contact
Bank Phone
Bank Name#2
Bank Acct# / Type
Bank Address
Bank City/Prov/Zip
Bank Contact
Bank Phone
Trade References
Company Contact
Phone Fax
Signature & Authorization
All accounts have to be paid when order is ready to ship until a credit application has been completed, reviewed and approved. Payment Terms after account has been approved are NET 30 days from date of invoice. Any balance so remaining unpaid shall bear interest at the rate of 1.5% per month (18% per annum), until paid in full. NSF cheques will be subject to a $25.00 charge. Orders in production cannot be changed or cancelled. Buyer's Gallery Blinds Corp. in not responsible for errors made in ordering. Customized products cannot be returned unless for warranty purposes or errors made during manufacturing/customizing.
PRIVACY POLICY AND CONSENT: I/we acknowledge that Buyer's Gallery Blinds Corp. may collect personal information, as defined by the Personal Information Protection and Electronics Documents Act or other provincial legislation and I/we authorize Buyer's Gallery Blinds Corp. to conduct all credit investigations necessary for approval of this application.
 
Name of Authorized Representative: Date:
Agreed and Accepted, Signed: Title: