STD Systems Inc.
Account Application
Company Information:
A. Company Legal Name:
Contact Name: Purchasing Accounts Payable
B. HeadQuarters Address:
City: Province: Choose Here Alberta British Columbia Manitoba New Brunswick Newfoundland NorthWest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territorries Postal Code:
Telephone: Fax: E-mail:
*If more than one location, please fill out the following fields, otherwise, proceed to here.
B2. Location #2 Address:
B3. Location #3 Address:
If shipping address is the same as a location, Choose Shipping Location Location#1 Location#2 Location#3 and then move onto section D.
If shipping address is different than locations, please fill out section C.
C. Shipping Address:
D. Type of Business: Distributor Dealer Other - please specify
E. Form of Business: Sole Proprietor- Name of Sole Proprietor
Partnership - Name of Partners
Corporation- Date of Incorporation
- Paid Up Capital $
F. Years in Business: years Number of Employees:
Annual Sales: $ Premises Area: Sq. Ft.
Premises is: Owned Mortgaged Leased
Affiliated Companies:
Parent Company: Shareholding:
Major Supplier(s):
Major Product Line(s):
Brand Name(s) / Trade Name(s):
Provincial Sales Tax Exemption Number:
(Please forward copy of Tax Exemption Permit to STD Systems Inc.)
G. Principal Officer(s):
Name: Position: Tel:
Home Address:
H. Bank Information:
Bank: Branch:
Tel:
Contact: Title:
Account No. Type:
Date Account Opened:
Type of Credit Facility: Limit: $
I. Trade References:* (Please do not list Merisel, they do not provide credit information)
** At least 2 references are required
Company Name:
Address:
Contact: Tel: Fax:
Payment Terms: Credit Limit:$
Credit Limit Requested or Increase $
Terms Requested (if applicable)
I/We understand and accept that if credit terms are granted to me/us by STD Systems Inc., I/We shall pay all amounts due by me/us in accordance with the approved terms. If I/we fail to make payment when due, I/we agree to pay interest from time to time on the outstanding balance at the interest rate of 2.0% per month calculated daily and compounded monthly. I/we further agree that credit limit and payment terms are subject to review at the discretion of STD Systems Inc. every six months and STD Systems Inc. reserves the right to cancel/change credit limit and payment terms granted to me/us without notice.
I/we certify that the information contained herein is true and correct and understand that it will be kept confidential. Further, I hereby authorize the bank and trade references listed in this application to release necessary information to assist the company in establishing a line of credit.
I, , agree to the above terms.
Date: Position:
Please download the following file: Guarrantor Agreement, and send the completed version to STD.
