TO APPLY FOR A NET 30 ACCOUNT PLEASE FILL OUT THE FORM BELOW OR DOWNLOAD THE PDF FILE AND SUBMIT THE COMPLETED FORM TO INFO@AFE.AB.CA

NEW ACCOUNT INFORMATION

*THE FIRST INVOICE ON ACOUNT MUST BE PAID C.O.D., ONLY ONCE THIS FORM IS APPROVED WILL YOU BE ALLOWED TO CHARGE TO YOUR 30 DAY ACCOUNT*

LEGAL NAME OF BUSINESS

COMPLETE ADDRESS

CONTACT NAME

PHONE NUMBER

ACCOUNTS PAYABLE NAME

ACCOUNTS PAYABLE EMAIL

YEAR ESTABLISHED

FEDERAL SALES TAX NUMBER

TRADE REFERENCES

*PLEASE NOTE: YOU MAY NOT USE FOOD/LIQUOR RELATED REFERENCES*

COMPANY #1

CONTACT NAME

ADDRESS

PHONE NUMBER

COMPANY #2

CONTACT NAME

ADDRESS

PHONE NUMBER

COMPANY #3

CONTACT NAME

ADDRESS

PHONE NUMBER

BANK INFORMATION

BANK NAME

ADDRESS

CONTACT NAME

PHONE NUMBER

THE APPLICANT ON BEHALF OF THE COMPANY ACKNOWLEDGES CREDIT TERMS OF 30 DAYS FROM DATE OF INVOICE WITH LATE PAYMENT CHARGES OF 2% PER MONTH APPLICABLE ON ANY UNPAID BALANCE. THE UNDERSIGNED AUTHORIZES ALBERTA FOOD EQUIPMENT 2015 LTD. TO PROCEED WITH CREDIT INVESTIGATION AS REQUIRED.

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NAME

DATE